| As a Program Safeguard Contractor (PSC), AdvanceMed Corporation assumed responsibility of all Benefit Integrity (BI) functions and Post Payment Medical Review functions for Ohio/West Virginia Part B Services on July 1, 2002, and Ohio Part A Services on June 1, 2003. Benefit Integrity functions for Kentucky Medicare Part A and Part B Services were added to the contract on December 1, 2005. The BI functions include investigation of suspected Medicare fraudulent activities, as well as investigation of any fraud complaints received by the PSC, data analysis to support fraud investigation, and pre-payment and post-payment medical review of claims to support BI activities. The Medical Review functions include post-payment claims review, overpayment calculation and provider education. The AdvanceMed OH/WV/KY contract performs the following functions for CMS as a PSC:
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| Client Centers for Medicare & Medicaid Services (CMS) |
| Location Grove City, Ohio |
| Program Manager Charlene Stanley stanleyc@admedcorp.com |