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CGI to Audit Medicaid Claims, Conduct Medical Reviews for Colorado

CGI to Audit Medicaid Claims, Conduct Medical Reviews for Colorado - top government contractors - best government contracting event
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CGI to Audit Medicaid Claims, Conduct Medical Reviews for Colorado - top government contractors - best government contracting event
Photo: co.grand-traverse.mi.us

CGI Group Inc. today announced it was was awarded a $13.3 million benefits-funded contract to provide Medicaid Recovery Audit Contractor program services for the Colorado Department of Health Care Policy and Financing.

The program supports the department“™s identification, correction and prevention of improper Medicaid payments.

CGI said it will audit all Medicaid claims, managed care and Child Health Plan Plus on the seven-year award. It will also conduct medical necessity and credit balance reviews.

To accomplish this, CGI said it will utilize its customized audit system, which is an enterprise-wide solution it uses to help predict, identify, manage and analyze medical and pharmacy claims.

The system includes provider outreach and education, appeals support and a web portal for program transparency.

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