The 8th SOW Medicare QIO activities regarding HPMP (Hospital Payment Monitoring Program) were completed on July 31, 2008. Through Private Review National Initiatives, FMQAI will continue its work with facilities to continue to decrease payment error rate and provide assistance for preventing adverse RAC determinations. FMQAI’s work with the development and implementation of CMAP (Case Management Assignment Protocol) which addresses high denial areas such as symptom DRGs, emergency department admissions and hospital short stays, has assisted Hospitals in reducing inappropriate hospital admissions by as much as 91%.
