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Who can a provider talk to for other questions concerning the post-service, prepayment audit (PPM Audit) process?

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Who can a provider talk to for other questions concerning the post-service, prepayment audit (PPM Audit) process?

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Phyllis Eversole has been promoted recently and is not really handling Special Claims Review – Post Service Pre-payment Audit inquiries any longer.  A new person has not, as of this date, taken over for Phyllis and it is temporarily being handled by Fe Caridad Alindogan, NCI, Utilization Review Unit, MRB Audits & Investigations, CDHS and you can reach her through the general number left above, we usually use her desk line though because you get a much faster response, thats the number that has the prefix 916-319-XXXX.   If you need to speak with someone quickly about SCR-PPM who is extremely knowledgeable and used to work for Electronic Data Systems (EDS) as a Special Claims Review – Post Service Prepayment Audit (SCR-PPM) Analyst, check out what the Lt. Governor of California (Ret.) had to say about these consultants….

“Damian and I have worked on very difficult cases together….. We couldn’t have been successful if Damian didn’t have a viable relationship with agency staff and a firm grasp on how the rules work. Receiving a poor inspection can shut down your business for months. If you want your system reviewed to limit your future liability or, if you are in the middle of a problem and want to rebuild your credibility with the regulatory agencies, you should seriously consider hiring Damian Barham at Equitable Solutions.” March 14, 2010

Cruz Bustamonte, Lieutenant Governor (Ret.), State of California

To learn more about what people like you are saying about this, or for more information please visit http://www.specialclaimsreview.com or you can contact:

Equitable Solutions

Damian J.D. Barham 916-247-5959

915 L Street Suite C #140

Sacramento, CA 95814

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A. If providers have any questions about the audit process that have not been answered after carefully reading all the accompanying information, cited regulations and provider manuals, they can call Phyllis Eversole, Chief, Utilization Review Unit, at (916) 440-7460.

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