CNI Advantage, LLC to begin PERM Medical Review Process

CNI Advantage, LLC will begin the Payment Error Rate Measurement (PERM) medical record review process in August 2017. PERM participation is required under the Federal Improper Payments Elimination and Recovery Act (IPERA) of 2010. CNI will begin contacting providers for CHIP, HELP, and Medicaid claims that have been sampled for review. Providers are encouraged to respond to CNI within the given timeframe, submit all requested documentation, and return the documentation with the claim-specific cover letter for each claim pulled for review.

Please contact Krista Cronholm with DPHHS Program Compliance Bureau for any PERM questions at 444-9365, KCronholm@mt.gov.

Providers may also visit the CMS provider web page at any time to become familiar with the entire PERM Process.