tci Medicare Compliance & Reimbursement - 2008 Issue 35

Medicaid:Medicaid Programs Are Paying More Than Their Share

OIG finds $873K in overpayments. State Medicaid programs are paying for more than 24 hours of personal care services -- and that's bad news. In four of the five states studied, the programs in 2005 paid for more than 24 hours of care on 871 claims totaling $873,132, according to a recent OIG report. The states were Minnesota, New Mexico, Texas, and Washington. Problem: Confusion arises when Medicaid programs allow personal services billing over a range of days, including days the beneficiary didn't receive services, the OIG contends.  n Note: To read the report, go to www...

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