MedicaidDocumentationMedium impact
BT2025132: IHCP presents results of review year 2024 CMS Payment Error Rate Measure audit
Indiana Medicaid (IHCP)·IN·Claims & Billing
We identified it
Jun 18, 2026
Summary
The Indiana Health Coverage Programs (IHCP) released results of their 2024 CMS audit showing significant documentation and billing errors among providers. The audit found issues with insufficient documentation and incorrect billing units, and providers are being reminded they must respond to all documentation requests and maintain proper records.
Action Required
Immediately: Review and strengthen documentation practices to ensure all medical records are complete and support billed services. Billing team should implement regular self-audits to verify units billed match medical record documentation. Providers must respond promptly to all IHCP documentation requests. Consider reviewing educational resources on IHCP Provider Education webpage and Program Integrity training materials.