Payment Error Rate Measurement (PERM)

PERM 2013 Provider Education Webinar/Conference Calls

The Centers for Medicare & Medicaid Services (CMS) is hosting four Payment Error Rate Measurement (PERM) Provider Education Webinar/Conference calls during PERM Cycle 2 (2013). The purpose is to provide opportunities for the providers of the Medicaid and Children's Health Insurance Program (CHIP) communities to enhance their understanding of specific Provider responsibilities during PERM. The PERM program is designed to measure improper payments in the Medicaid and CHIP programs, as required by the Improper Payments Information Act (IPIA) of 2002 (amended in 2010 by the Improper Payments Elimination and Recovery Act or IPERA).

Webinar/Conference call participants will learn from presentations that feature;

  • The PERM process and provider responsibilities during a PERM review
  • Frequent mistakes and best practices
  • The Electronic Submission of Medical Documentation, esMD program

Presentation materials and participant call in information will be posted on the Provider Education Calls link at http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/PERM/Provider_Education_Calls.html

The Webinars are being presented on a Connect Pro platform. To test your connection in advance, launch https://webinar.cms.hhs.gov/common/help/en/support/meeting_test.htm

There will be time available for Q&A's at the end of the presentations however; CMS encourages all participants to submit questions in advance to our designated PERM Provider email address at: PERMProviders@cms.hhs.gov or, you may also contact your State PERM Representative, Cindy Durrett, at 803-898-3113 or Durrett@scdhhs.gov with any questions.

Please check the CMS Website and PERM Provider's page regularly for helpful education materials, FAQs, and updates at http://www.cms.gov/PERM/

Remember: "If it is not documented, it never happened!"

PERM 2013 Provider Education Webinar/Conference Calls Schedule

Tuesday, May 21, 2013 3:00-4:00pm ET
To join the meeting: Audio: 1-877-267-1577, Meeting ID# 4964
Webinar: https://webinar.cms.hhs.gov/permcycle2web1/

Wednesday, June 5, 2013 3:00-4:00pm ET
To join the meeting: Audio: 1-877-267-1577,
Meeting ID# 4964
Webinar: https://webinar.cms.hhs.gov/permcycle2web2/

Tuesday, June 18, 2013 3:00-4:00pm ET
To join the meeting: Audio: 1-877-267-1577,
Meeting ID# 4964
Webinar: https://webinar.cms.hhs.gov/permcycle2web3/

Tuesday, July 2, 2013 3:00-4:00pm ET
To join the meeting: Audio: 1-877-267-1577,
Meeting ID# 4964
Webinar: https://webinar.cms.hhs.gov/permcycle2web4/

Print Version PERM 2013 Provider Education Webinar/Conference Calls

 

PERM:

What Providers Need to Know

  • The Payment Error Rate Measurement (PERM) is an audit program that was developed and implemented by the federal Centers for Medicare and Medicaid Services (CMS) to comply with the Improper Payments Information Act (IPIA) of 2002.
  • The purpose of PERM is to examine claims payment in the Medicaid program and Children’s Health Insurance Program (CHIP) for accuracy and to ensure that the States only pay for appropriate claims. 
  • South Carolina’s next PERM cycle is federal fiscal year 2013 (October 2012 – September 2013).
  • A sample of claims are selected for review to determine if they were processed correctly and that the services were actually provided, medically necessary, coded correctly, and properly paid or denied. These medical reviews examine the accuracy of the claim information by comparing it to the documentation in the medical record.
  • The Review Contractor for CMS will contact providers and request a copy of their medical records to support the medical review. The Review Contractor will send out the request letters and, if necessary, follow-up letters and calls. 
  • Providers will need to submit all requested medical records and supported documents within 75calendar days of the request date, either electronically or hard copies.
  • Any claims for which documentation is not received upon request by the Contractor shall be an overpayment subject to recovery, regardless of whether services were provided.
  • The Review Contractor will notify SCDHHS about the errors identified, which has the option to agree or disagree with its findings.
  • SCDHHS can file a request for a Difference Resolution and providers may be contacted to assist in the Difference Resolution process.
  • States are required to return the federal share of overpayments to CMS. SCDHHS will pursue recoveries as part of the corrective actions according to applicable law and regulations.

Providers can visit the CMS website at http://www.cms.gov/PERM/and the SCDHHS website at http://www.scdhhs.gov /perm to learn more about PERM. Click on the Provider sections.

Providers can also call Cindy Durrett, SCDHHS PERM Contact, at (803) 898-3113 or e-mail Durrett@scdhhs.gov for more information.

Remember:

 

“If it is not documented, it never happened!”

Watch PERM presentation video

Printable version of this page

Report Fraud