IPRO Wins Federal Medicaid Integrity Contract

Aug 06, 2009, 15:40 ET from IPRO

LAKE SUCCESS, N.Y., Aug. 6 /PRNewswire-USNewswire/ -- IPRO announced today that it has been awarded a Medicaid Integrity Program (MIP) Task Order by the Centers for Medicare & Medicaid Services (CMS). Under this Task Order, IPRO will audit Medicaid claims to identify potential overpayments.

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"This Medicaid Integrity Contract (MIC) builds upon the knowledge and expertise that IPRO has developed in conducting various program integrity activities on behalf of the Medicare and Medicaid programs over the past twenty-five years," according to Harry M. Feder, IPRO's Chief Operating Officer.

The MIP is the first coordinated, federal program to help states reduce Medicaid provider fraud, waste, and abuse. The program was created in 2006 as part of the federal Deficit Reduction Act of 2005 and is overseen by the CMS. Cornerstones of the MIP are contracts awarded by the CMS to IPRO and other companies to conduct audits of Medicaid claims of providers across the country. With the award to IPRO, CMS has awarded four such contracts, covering 40 states, the District of Columbia, and five territories.

IPRO will perform Medicaid provider audits in CMS' Region I, which includes Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont, as well as in Region II, which includes New York, New Jersey, Puerto Rico, and the Virgin Islands. The contract is valued at $5.5 million for the base year and may be renewed, on an annual basis, for up to four additional years, upon successful performance determinations by CMS.

Key IPRO personnel, including the project director, Joseph L. Guy, Ph.D., formerly with the New York State Department of Health, Medicaid program, will be located in the company's Albany, New York office. Assisting with cost report audits will be Toski, Schaefer & Co, a CPA firm located in Williamsville, New York, as well as Digital Harbor, a software solutions company based in Reston, Virginia.

About IPRO

IPRO is a nationally recognized, independent quality improvement and evaluation organization, holding major contracts with state and federal governments, as well as private-sector clients. Based in Lake Success, IPRO is a not-for-profit organization with annual revenues of $60 million and 400 employees. IPRO holds ISO 9001:2000 Certification and is an Empire State Advantage Silver Award Winner.