tci Medicare Compliance & Reimbursement - 2005 Issue 42

ENFORCEMENT WATCH: Keep Personal Care Services Rates Honest

One provider found out the hard way:  Medicaid won't pay facility ad and marketing costs.Providers billing Medicaid need to make sure that their reported costs reflect actual amounts, or a state's attorney general might ask for a refund of Medicaid payments. Further, the AG might also make the provider pay interest on the Medicaid money.Rosa Coplon Jewish Home and Infirmary, a 180-bed residential health care facility, and its long-term home health care program faces allegations of overcharging Medicaid, New York AG Eliot Spitzer recently announced. New York's LTHHCPs provide nursing services, personal care and therapy to Medicaid...

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