State Home Per Diem 2014 IPERIA Audit Status Update

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State Home Per Diem 2014 IPERIA Audit Status Update. Improper Payment Elimination Recovery and Improvement Act (IPERIA) Requirements Conduct high-risk program testing Conduct statistically relevant audit Determine error rate, category of errors and root causes of errors
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State Home Per Diem 2014 IPERIA Audit Status Update
  • Improper Payment Elimination Recovery and Improvement Act (IPERIA) Requirements
  • Conduct high-risk program testing
  • Conduct statistically relevant audit
  • Determine error rate, category of errors and root causes of errors
  • Report audit findings in Progress Accountability Report (PAR)
  • IPERIA Requirements (con’t)
  • Identify recoverable improper payments
  • Collection target is 85% of total recoverable improper payments
  • Track corrected under payments
  • Track and report collected amount of overpayments
  • Develop Corrective Action Plans (CAPs) to reduce improper payment rate
  • 2014 State Home Per DiemIPERIA Audit – Completed Tasks
  • High Risk Testing of SH program.
  • Hire/train SH audit staff.
  • Audit Sample size of 463 identified from universe including all State Homes.
  • Supporting documentation (10-10 SH, 10-10EZ, eligibility documents) gathered from sites and consolidated on CBO share point site.
  • 2014 State Home Per Diem IPERIA Audit – In Progress
  • Audit in Progress – 37% completed
  • Weekly technical reviews held to discuss audit findings.
  • Review audit errors – identify payment errors and compliance errors.
  • Compliance errors are process errors that do not result in an improper payment.
  • 2014 State Home Per DiemIPERIA Audit – Next Steps
  • Complete State Home audit by EOM April.
  • Present audit findings at Audit Review Committee – May ‘14
  • State Home Program Staff to determine Corrective Action Plans(CAP’s) to reduce improper payments – May ‘14
  • Address CAP’s in PAR – June ‘14
  • Monitor implementation of CAP’s/Collect improper payments – Sept/Oct ‘14
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