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HSN Claims Editing

SECTION 183.   Notwithstanding any general or special law to the contrary, the division of health care finance and policy shall, not later than June 30, 2012, ensure the following: (i) that Medicare-like claims editing is fully and effectively implemented and used to determine reimbursements from the Health Safety Net Trust Fund; and (ii) that claims editing is effectively used to reduce the occurrence of payments for medically unnecessary services, medically unlikely events, and duplicate services.