Flaws in processes and use of data are significantly hindering recoupment of Medicaid overpayments under the Medicaid Integrity Contractor Audit program, according to a new report from the Department of Health and Human Services’ Office of Inspector General.
The 370 audits were assigned between January and June 2010 with an estimated $80 million in potential overpayments, but the 11 audits revealing overpayments only yielded a total of $6.7 million. By June 2011, most of the rest of remaining audits were completed with no finding of overpayment, or ongoing but unlikely to identify overpayments.
Register or login for access to this item and much more
All Health Data Management content is archived after seven days.
Community members receive:
- All recent and archived articles
- Conference offers and updates
- A full menu of enewsletter options
- Web seminars, white papers, ebooks
Already have an account? Log In
Don't have an account? Register for Free Unlimited Access