Audit finds Kenosha County's move to UMR largely accurate; small errors identified and corrected
An independent audit of Kenosha County’s 2024 medical-claims administration found above‑median accuracy and timely adjudication; targeted errors (including a coding modifier typo and an incorrect weight‑loss surgery payment) were corrected and reimbursed, and the report recommended minor plan‑document clarifications.
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Brown & Brown presented CTI’s audit of Kenosha County’s 2024 claims administration after the county transitioned to UMR. The audit used a stratified random sample of 125 claims (statistically valid at a 95% confidence level), reviewed all claims with a targeted 25‑claim sample for coding/compliance issues, completed an operational review, and checked the plan document for clarity.
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