Georgia asked to repay $2.8M to federal government
Healthcare Auditing Weekly, January 8, 2008
Georgia's Medicaid agency inappropriately claimed federal financial participation (FFP) for unallowable services provided by the Georgia Department of Juvenile Justice (DJJ) during fiscal years 2003 and 2004, according to an OIG audit.
The OIG estimated the Medicaid agency claimed approximately $4.6 million for targeted case management (TCM) services for individuals deemed at risk of incarceration, in compliance with federal and state requirements. The OIG determined the costs were not allowable because neither the Medicaid agency nor DJJ had adequate controls to ensure the claimed services were eligible for FFP.
The OIG recommended the Medicaid agency:
- Refund $2,835,507 to the federal government
- Examine claims made during the period subsequent to the audit for compliance with these requirements and refund any overpayments identified
- Establish monitoring procedures to provide reasonable assurance that DJJ complies with federal and state requirements in submitting TCM claims
Click here to read the OIG's audit.
Comments
0 comments on “Georgia asked to repay $2.8M to federal government ”
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- HIPAA Q&A: Level of encryption needed for email
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Identify potential Medicaid RAC target areas
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- Catch up on what's new with injections and infusions
- Hospitals are not bound by InterQual criteria for determining patient status
- Searched