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Traditional MedicareAdministrativeMedium impact

Newsletter Vol. 25, No.02

New Jersey Medicaid·NJ·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy provides information about Provider Error Rate Measurement (PERM) audits, which are federal audits that measure improper payment rates in Medicare and Medicaid programs. Healthcare practices may be selected for these audits to verify the accuracy of their billing and documentation practices.

Action Required

Action needed
Immediately: Review current billing and documentation practices to ensure compliance with Medicare and Medicaid requirements. Billing team should verify that all claims have proper documentation supporting medical necessity and accurate coding. Maintain organized records as practice may be randomly selected for PERM audit review.