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HB23 1295 RAC Provider Advisory Ad Hoc Board Meeting 11/17/25

Provider Advisory Board (Health Care Policy & Financing) · November 20, 2025

Ad hoc Provider Advisory Board session with HMS on audit pilot procedures, automated duplicate-claim detection, and DRG (inpatient) validation including debate over sepsis coding. Staff urged providers to update portal records; small-sample audits will roll out this week and a December 11 public advisory meeting was announced.

AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.