Prevention of coding errors - prepayment review of claims

Colo. Rev. Stat. § 25.5-4-300.7, under RECOVERY.

Colo. Rev. Stat. § 25.5-4-300.7

(1) The state department shall implement and maintain a system for reducing medical services coding errors in medicaid claims submitted to the state department for reimbursement. The system shall include automatic, prepayment review of medicaid claims through the use of nationally recognized correct coding methods in the medicaid management information system, in accordance with 42 U.S.C. sec. 1396b (r) and regulations thereunder, as amended by Pub.L. 111-148, and any other subsequent acts of congress. The state department shall acquire and maintain any information technology necessary to implement the automated, prepayment review of medicaid claims.

(2) Repealed.

Source: L. 2010: Entire section added, (SB 10-167), ch. 296, p. 1379, § 8, effective May 26. L. 2016: (2) repealed, (HB 16-1081), ch. 22, p. 50, § 2, effective August 10.