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Strengthen the Evidence for Maternal and Child Health Programs

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Search Results: MCHLine

Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 3 (3 total).

U.S. Department of Health and Human Services, Office of Inspector General. 2007. Improper payments for Medicaid pediatric dental services. Washington, DC: U.S. Department of Health and Human Services, Office of Inspector General, 35 pp.

Annotation: This report presents findings from an assessment of the appropriateness of Medicaid payments for pediatric dental services. The authors examined a stratified random sample of Medicaid pediatric dental services in five states during 2003 to determine whether the services met requirements for proper documentation, billing, and medical necessity. Contents include an executive summary, which presents the objective and background and a summary of the findings, recommendations, comments from the Centers for Medicare and Medicaid Services, and a response from the Office of the Inspector General.

Contact: U.S. Department of Health and Human Services, Office of Inspector General, c/o U.S. Department of Health and Human Services, Office of Public Affairs, Cohen Building, Room 5541, 330 Independence Avenue, S.W., Washington, DC 20201, Telephone: (202) 619-1343 Fax: (202) 260-8512 E-mail: [email protected] Web Site: https://oig.hhs.gov Available at no charge; also available from the website. Document Number: OEI-04-04-00210.

Keywords: Auditing, Children, EPSDT, Health services delivery, Medicaid, Oral health, Pediatric dentistry, Reimbursement, Utilization review

U.S. Office of Rural Health Policy. 2004. Starting a rural health clinic: A how-to manual. Rockville, MD: U.S. Office of Rural Health Policy, ca. 200 pp.

Annotation: The purpose of this guide is to walk the reader through the steps required to become a federally certified rural health clinic (RHC) and to complete the necessary financial audit to determine the clinic's per visit rate. The goals of RHCs are to improve access to primary health care in rural, underserved communities and to promote a collaborative model of health care delivery using physicians, nurse practitioners, and physician assistants. The guide includes the following sections: (1) overview of the RHC Program, (2) getting started -- does your site qualify?, (3) feasibility analysis -- is the RHC program for you?, (4) how to file the RHC application, (5) preparing for the RCH certification inspection, (6) completing the cost report, and (7) RCH coding and billing issues. The guide includes five appendices: (1) state survey and certification agencies, (2) state offices of rural health, (3) criteria for designation as an HPSA or MUA, (4) sample policy and procedures manual, and (5) other resources.

Keywords: Auditing, Clinic administration, Clinic characteristics, Clinical coding, Collaboration, Costs, Federal government, Federal programs, Health care delivery, Nurse practitioners, Office visits, Physician assistants, Physicians, Primary health care, Rural health, Underserved communities

U.S. Department of Agriculture, Office of the Inspector General. 1980. Audit guide for the Special Supplemental Food Program for Women, Infants and Children (WIC). Washington, DC: U.S. Department of Agriculture, Office of the Inspector General, 25 pp.

Annotation: This guide was designed to assist Office of Inspector General auditors, state and local auditors, and independent public accountants in the audit of WIC programs at the state and local agency levels. Topics covered include (1) applicability, (2) background, (3) standards and guidelines for conducting audits, (4) preparatory survey, (5) audit of the state agency, and (6) audit of the local agency. Six exhibits include directories, food instrument considerations, a summary of General Accounting Office standards for audits, a sample flow chart, and a summary of local agencies.

Keywords: Auditing, Child nutrition, Federal programs, Guidelines, Infant nutrition, Local agencies, Maternal nutrition, Standards, State agencies, WIC Program

   

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.