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22670 Haggerty Road, Suite 100, Farmington Hills, Michigan 48335

Phone: 248-465-7300  |  Fax: 248-465-7428 

At MPRO, we are committed to maintaining an environment of equal opportunity and affirmative action. If you need a reasonable accommodation to access the information provided on this website, please contact us at 248-465-7300 for further assistance.

Hospital Post Payment Audit

MPRO is Changing the Way We Perform Post Payment Audits

 

The Office of Health Services Inspector General, an independent office within the Michigan Department of Health and Human Services (MDHHS), has contracted with MPRO to conduct reviews of individual hospital based claims.

 

These audits and reviews will be performed to ensure compliance with applicable laws, rules, regulation and policies of the Michigan Medicaid program pursuant to the Social Welfare Act, 1939 PA 280, MCL 400.1 to 400.119.

 

What is changing is how the claims are evaluated. From now on, only overpayments will be returned to Medicaid through MDCH and will be done on a case-by-case basis.

 

MPRO’s main priority is helping to assure the Michigan Medicaid program continues to be available for eligible beneficiaries in the future.

 

Information about how to access your facility's specific audit information will be coming. Check this web page for updates.

 

If you have any questions, please contact Toria Spencer at 248-465-7368.