Jackie Selby, a Member of the Firm, and Gregory R. Mitchell, an Associate, in the Health Care and Life Sciences practice, in the firm’s New York office, were cited in Becker’s CFO Report, in “3 Things to Know About Encounter Data and Providers’ Potential Penalties Under Medicaid MCOs,” by Morgan Haefner.
Following is an excerpt:
Providers in Medicaid managed care organization agreements should analyze potential penalties health plans may pass along under encounter data requirements, representatives from Epstein Becker Green wrote in a Lexology post.
Jackie Selby, a member at the law firm, and Gregory Mitchell, an associate at the firm, wrote about encounter data requirements under the Medicaid Managed Care Rule. CMS released the final rule in May 2016, which requires states to gather and retain encounter data from their MCOs for contracts effective July 1, 2017. Encounter data documents provider characteristics, as well as patients’ clinical diagnoses and treatments.
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