tci Medicare Compliance & Reimbursement - 2012 Issue 21

Industry Notes:

One State Just Says 'No' to OIG RecoveryThe OIG wants New Mexico to recover $11 million from a Medicaid home care provider, but the state isn't going along with the idea. Coordinated Home Health claimed at least $11 million improperly for personal care attendant services in 2006 through 2008, the OIG maintains in a new report. Nearly half of the claims from the 100-claim sample didn't meet requirements, mostly due to attendant qualification issues, the watchdog agency says.Nearly all the deficiencies the OIG found "involve technical or documentation problems that do not support a conclusion that payments were...

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