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County warns vendors: Medicaid spot audits increasing; progress notes must justify billed time
Summary
La Crosse County staff warned vendors that DHS/Medicaid now conducts spot audits at submission and will require medical records, assessments and service plans that justify billed services. Vendors were urged to submit training and supervision logs by Sept. 1 and to improve progress-notes to avoid corrective action.
La Crosse County told CCS and CLTS providers that full fiscal audits have largely been replaced by Medicaid spot audits at the time providers submit claims. Ryan Ross, a CCS supervisor, told vendors that Medicaid reviewers are asking for medical documentation, assessment records, service…
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