A $200M Medicaid bill

[hrmjustin]

James M. Odato

The federal government overpaid New York's Medicaid program at least $200 million and the money should be refunded to Washington, according to findings of a new audit to be unveiled Tuesday.

The U.S. Department of Health and Human Services audit focused on the past three years of reimbursements for various services provided under New York's $56 billion Medicaid program.

In areas such as home health care, continuing day treatment, orthodontic and dental coverage, and traumatic brain injury programs, the federal agency's Office of Inspector General found millions of dollars in improper payments.

Many of them were for services that were not provided or were duplicative billings. Auditors found many of the services were covered without properly documenting need.


http://m.timesunion.com/local/article/A-200M-Medicaid-bill-5652767.php

[hrmjustin]

1. State to appeal federal claim for $1.25 billion in Medicaid funds

http://www.recordonline.com/apps/pbcs.dll/article?AID=/20140730/NEWS/140739981/-1/NEWS

[hrmjustin]

2. Moody’s: Medicaid Clawback A Credit Negative

http://www.nystateofpolitics.com/2014/08/moodys-medicaid-clawback-a-credit-negative/

[hrmjustin]

3. NYC to pay $1M to settle Medicaid probe

http://online.wsj.com/article/APb95e0a63179544a48c20a82e3cb38abf.html?mod=WSJ_NY_LEFTAPHeadlines

[hrmjustin]

4. Explaining hospitals' dismal hit rate on electronic records

http://www.capitalnewyork.com/article/albany/2014/08/8550400/explaining-hospitals-dismal-hit-rate-electronic-records?top-featured-1