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Virginia Health Care Association | Virginia Center for Assisted Living

CCC Plus Updates: Virginia Premier 2019 Claims Clean-Up Reminder and HMS Audits

CCC Plus Updates: Virginia Premier 2019 Claims Clean-Up Reminder and HMS Audits

CCC Plus LogoVirginia Premier is available to work on 2019 claims clean up and has provided instructions for providers. We have also been notified that HMS has stopped all audit recovery efforts.

Virginia Premier 2019 Claims Clean-Up

On March 26, we announced that Virginia Premier was available to work on claims clean-up for dates of service in CY 2019. While there is no hard deadline, we would still encourage you to consider participating in this project now if your claims staff have availability to do so.

Read our March 26, 2020 update on the Virginia Premier 2019 Claims Clean-Up – Soft Launch for instructions from Virginia Premier. Please note that since initially announced, Virginia Premier has asked that confirmation requests be sent to VPHPLTSSProviderServices@virginiapremier.com.  This address is monitored by several people in their provider services department, as well as their leadership. 

HMS Audits Update

According to Anthem, HMS has completely stopped recovery efforts regardless of the status of the audit. With having some completed audits, some providers have decided to send payments but neither HMS nor Anthem are making any attempts to recover at the moment.

If you have questions about these CCC Plus updates, please contact Steve Ford.