Tennessee Health Plan Audit Results

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Health Plans - Tennessee State Government - TN.gov

(Just Now) WEBNCQA is the most widely-recognized accreditation program in the United States. Results of TennCare’s Health Plan Accreditation can be found below. Tennessee NCQA …

https://www.tn.gov/tenncare/providers/managed-care-contractors/health-plans.html

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FINAL HEALTHCARE CLAIMS AUDIT REPORT …

(3 days ago) WEBState of TN – Cigna Claims Audit Report (Targeted) June 30, 2022 Page 1 Executive Summary The State of Tennessee engaged Healthcare Horizons to conduct a …

https://www.tn.gov/content/dam/tn/attorneygeneral/documents/foi/hc-audits/cigna.pdf

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The Tennessee State Health Plan TDH Health Data

(1 days ago) WEBThe State Health Plan framework seeks to expand upon and actualize the Department’s Vision of Healthy People, Healthy Communities, Healthy Tennessee. By incorporating …

https://healthdata.tn.gov/stories/s/The-State-Health-Plan-Landing-Page/i8hx-7pq2/

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FINAL HEALTHCARE CLAIMS AUDIT REPORT …

(3 days ago) WEBThe State of Tennessee engaged Healthcare Horizons to conduct a comprehensive or targeted claims audit of Optum, an administrator of its employee behavioral health …

https://www.tn.gov/content/dam/tn/attorneygeneral/documents/foi/hc-audits/optum.pdf

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Find a State Audit Report - comptroller.tn.gov

(4 days ago) WEBThe Division of State Audit aids the legislature in ensuring that state government is accountable to the citizens of Tennessee. State Audit conducts financial …

https://comptroller.tn.gov/office-functions/state-audit/find-a-report.html

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State Audit - Tennessee

(Just Now) WEBComptroller of the Treasury Jason E. Mumpower State Capitol Nashville, TN 37243-9034 615.741.2775 To Report Fraud, Waste & Abuse: Submit a report online here or call the …

https://comptroller.tn.gov/office-functions/state-audit.html

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Quality Assurance - Tennessee State Government - TN.gov

(5 days ago) WEBThe Quality Assurance section of the DIDD is responsible for surveying contracted community-based providers to determine quality of services provided and performance in regard to meeting DIDD requirements. The types of providers surveyed include day and residential, independent support coordinator agencies and clinical …

https://www.tn.gov/didd/divisions/quality-management/quality-assurance.html

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FINAL HEALTHCARE CLAIMS AUDIT REPORT Targeted Audit …

(Just Now) WEBTargeted Audit STATE OF TENNESSEE – BCBST AUDIT PERIOD: JANUARY 1, 2020 – DECEMBER 31, 2020 (BCBST), an administrator of its employee health benefit plan, …

https://www.kidcentraltennessee.gov/content/dam/tn/attorneygeneral/documents/foi/hc-audits/bcbst.pdf

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State attorney general releases taxpayer-paid audit Ashe

(9 days ago) WEBDaniel placed $400,000 in the state budget to conduct an audit, and after a lengthy process, Healthcare Horizons in Knoxville (www.healthcarehorizons.com) won …

https://www.knoxnews.com/story/opinion/2022/07/25/knoxville-attorney-general-taxpayer-paid-audit/10085748002/

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Program Audit Results - Centers for Medicare

(Just Now) WEBBlueCross BlueShield of Tennessee: 7 3: 13 2021: Yes Summit Master Company, LLC: 1 1: 13 2021: No Associated Care Ventures, Inc. 10 0: 13 2021: No Aware Integrated, Inc. …

https://www.cms.gov/files/document/program-audit-results.pdf

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Final Audit Report - Oversight.gov

(7 days ago) WEBAll findings from our previous audit of the Plan (Report No. 1A-10-15-09-009, dated June 16, 2009) for contract years 2004 through 2007 have been satisfactorily resolved. The …

https://www.oversight.gov/sites/default/files/upload-reports/audit-of-bluecross-blueshield-of-tennessee-chattanooga-tennessee-1a-10-15-14-030_0.pdf

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Tennessee Legislature Passes Comprehensive PBM Reform

(8 days ago) WEBOn May 4, 2021, the Tennessee General Assembly passed comprehensive legislation seeking to reform the practices of PBMs in the state of Tennessee. Public …

https://www.hklaw.com/en/insights/publications/2021/06/tennessee-legislature-passes-comprehensive-pbm-reform

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Department of Health - Tennessee General Assembly

(1 days ago) WEBWe conducted this performance audit of the Department of Health, pursuant to the Tennessee Governmental Entity Review Law, Title 4, Chapter 29, Tennessee Code …

https://www.capitol.tn.gov/Archives/Joint/committees/gov-opps/ed/Department%20of%20Health%20Audit.pdf

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County Audit Reports - Tennessee

(3 days ago) WEBCounty Audit Reports. * Audit Report available for Fiscal Year Ended June 30, 2023. may be downloaded and reproduced as necessary. For assistance, please contact Gabrielle …

https://comptroller.tn.gov/office-functions/la/reports/audit-reports.html

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Toolkit for Physicians Facing Medical Audits - TNMED

(7 days ago) WEBContact Us. Tennessee Medical Association. 2301 21st Avenue South. Nashville, TN 37212. Phone 615.385.2100 Fax 615.312.1890 Email: [email protected]

https://www.tnmed.org/toolkit-for-physicians-facing-medical-audits/

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Tab 7 Analysis of the TN Health Care Plan Claims Audit of …

(3 days ago) WEBIn the 2020-2021 state budget, the legislature inserted an amendment that required the Attorney General of Tennessee to contract for the audit of the state health care plan. …

https://www.tn.gov/content/dam/tn/tacir/commission-meetings/2022september/2022Sept_Tab7ReferenceBasedPricing_MartinDaniel_handout.pdf

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Strategic and Operational Plan Profile State: Tennessee

(6 days ago) WEB1. Health Information Exchange. Strategic and Operational Plan Profile. Overview. The Tennessee State government and key stakeholders have come together to build a …

https://www.healthit.gov/sites/default/files/tennessee_state_hie_profile.pdf

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West Tennessee Healthcare and Related Affiliates

(7 days ago) WEBThose standards require that we plan and perform the audit to and compliance and the results of that testing, and not to provide an opinion on internal control over financial

https://madisoncountytn.gov/DocumentCenter/View/9788/WTH-2019-Audit

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All Reports and Publications - U.S. Department of Health and …

(1 days ago) WEBAudit A-09-22-02004. HHS Agency Setting Medicare Clinical Diagnostic Laboratory Test Rates Under the Clinical Laboratory Fee Schedule for Future Public Health …

https://oig.hhs.gov/reports-and-publications/all-reports-and-publications/?report-type=Audit&hhs-agency=CMS

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‘Significant deficiencies’ found in Carter County audit for 2nd year …

(8 days ago) WEBCARTER COUNTY, Tenn. (WJHL) — Carter County received its second consecutive poor audit from The Tennessee Comptroller of the Treasury. On Tuesday, the Comptroller’s Office announced its annual

https://www.wjhl.com/news/local/significant-deficiencies-found-in-carter-county-audit-for-2nd-year-in-a-row/

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MARKET CONDUCT EXAMINATION and FINANCIAL AND …

(Just Now) WEBOperations of Volunteer State Health Plan, Inc., Chattanooga, Tennessee, was completed September 9, 2022. This report includes the results of the market conduct …

https://www.tn.gov/content/dam/tn/commerce/documents/tcoversight/reports/mco-exam/VSHP_Examination_Report_2021_final.pdf

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West Tennessee Healthcare and Related Affiliates

(1 days ago) WEBWest Tennessee Healthcare and Related Affiliates Management’s Discussion and Analysis 5 This section of the financial statements of West Tennessee Healthcare …

https://madisoncountytn.gov/DocumentCenter/View/13097/2022-WTH-Audited-Financial-Statements

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SHELBY COUNTY HEALTH CARE CORPORATION (A …

(2 days ago) WEBTriad Centre III. 6070 Poplar Avenue Memphis, TN 38119-3901. Independent Auditors’ Report on Internal Control Over Financial Reporting and on Compliance and Other …

https://comptroller.tn.gov/content/dam/cot/la/advanced-search/2022/health-care/2284-2022-cn-regionalonehealth-ssa-cpa213-3-30-23.pdf

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