Updating and Deleting Delivery Encounters. The process for updating and deleting delivery encounters can be found in the Covered Families and Children (CFC) Delivery Payment Reporting Procedures and Specifications for ODM Managed Care Plans (MITS version - draft) document. Auditing of Delivery Payments A delivery payment audit will be conducted periodically. If medical records do not substantiate that a delivery (at least 22 weeks gestation) occurred related to the payment that was made, then ODM will recoup the delivery payment from the MCP. Also, if it is determined that the encounter which triggered the delivery payment was not a paid encounter, then ODM will recoup the delivery payment.
Appears in 6 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
