Tag Archives: Medicaid

$6.4M in Medicaid Dental Payment Violations Found in Louisiana

Now here’s a blog post you can really sink your teeth into, or you may be gnashing them together after reading this. An audit released last week by the Louisiana Legislative Auditor found about $6.4 million in payments from July…

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Sneak Preview: HHS OIG Seeks Medicaid Refund from New Jersey

(The following was excerpted from a recent article in the Single Audit Information Service.) The Department of Health and Human Services (HHS) Office of Inspector General (OIG) reaffirmed its recent audit recommendation that the New Jersey Department of Human Services…

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Sneak Preview: CMS To Issue Guidance on Medicaid Determinations

(The following was excerpted from a recent article in the Single Audit Information Service.) The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) plans to provide guidance to states explaining federal requirements for using…

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Sneak Preview: CMS To Clarify Medicaid Withdrawal Requirements

(The following was excerpted from a recent article in the Single Audit Information Service.) The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) is developing guidance to better clarify its requirement that states should…

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Incorrect Coding Edits Leads to Medicaid Improper Payments

Not too long ago, rock singer Bob Seger released a song entitled, “Feel Like a Number,” which highlighted how we are losing out identity as a name and, more often than not, identified simply as a number. Same holds true…

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Sneak Preview: CMS To Assess Medical Transportation Guidance

(The following was excerpted from a recent article in the Federal Grants Management Handbook.) The Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) plans to review and potentially update its current Medicaid guidance on…

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Sneak Preview: N.Y. Auditor Seeks Review of Medicaid Eligibility

(The following was excerpted from a recent article in the Single Audit Information Service.) The New York Department of Health is updating the functionality of its Medicaid information system to enable state auditors to better review applicant eligibility and enrollment…

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Sneak Preview: Pa. Agency’s Medicaid Training Costs Disallowed

(The following was excerpted from an article in the Federal Grants Management Handbook.) The Department of Health and Human Services (HHS), Departmental Appeals Board recently upheld a Centers for Medicare and Medicaid Services (CMS) ruling to disallow more than $3…

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Sneak Preview: N.Y. Seeks $119.3M in Uncollected Drug Claims

(The following was excerpted from an article in the Single Audit Information Service.) The New York Department of Health is calling for managed care organizations (MCOs) to correct and resubmit Medicaid drug claims that were previously unprocessed due to errors…

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Sneak Preview: Congress, CMS Urged To Reduce Medicaid Improper Payments

(The following was excerpted from an article in the Single Audit Information Service.) Congress and the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) should consider the growing risks affecting Medicaid as they work…

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