Payment Error Rate Measurement (PERM) Review Audit

The Centers for Medicare & Medicaid Services (CMS) is beginning their Payment Error Rate Measurement (PERM) review of Med-QUEST Fee-For-Service providers for services paid between July 1, 2019 to June 30, 2020.

Centers for Medicare & Medicaid Services uses contractors to perform the PERM review.  CMS review contractor NCI, will be sending out requests for medical records and/or documentation.

Please respond to the medical record request letters within the timelines to avoid any errors.  If a provider fails to submit all of the requested information, the claim will be considered an error and may result in an overpayment recouped by the State.

Modified on October 23, 2020