GENERAL SUMMARY OF POSITION:
The Payment Rate & Administrative Cost Reimbursement Unit (PRACRU) within the Center for Health Care Financing oversees administrative claiming, facility cost reporting and community service rate development on behalf of several Commonwealth of Massachusetts’ agencies. The federal reports are mandated by the Centers for Medicare & Medicaid Services (CMS) and failure to submit results in suspension of Medicare and Medicaid payments to the Commonwealth. The Medicaid reports are mandated by state regulation.
Under the general supervision of the Manager, the Associate Federal Claiming Reimbursement Analyst works independently with state agency staff and state information systems to gather, analyze and prepare information for inclusion on yearly cost reports and rate petitions, which will have final review by senior staff person before being submitted on behalf of facilities to appropriate regulatory authorities.