HCPF investigating provider-portal/CBMS mismatches, EMS denials and specialty long-stay claims HCPF said it is investigating reports of mismatched date-of-death data between the Medicaid provider portal and CBMS that cause claim and payment issues, is analyzing EMS fee-for-service denials potentially routed to managed care, and is reviewing specialty hospital claims with possibly excessive lengths of stay.

Colorado's HCPF is tackling critical issues with Medicaid claims, including mismatched death dates and EMS payment denials that could be affecting providers statewide.

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