Corporate Compliance

Insufficient data sharing leads to overpayments by Kansas, Missouri

Healthcare Auditing Weekly, March 4, 2008

Lack of inter-government dialogue cost the states of Kansas and Missouri some $196,000 total in erroneous Medicaid payments, according to two recent OIG audits.

The state Medicaid agencies made the overpayments because they did not share information. The Missouri state agency made $82,602 in payments for beneficiaries living in Kansas, while the Kansas state agency paid $113,887 for Medicaid services provided to beneficiaries who lived in Missouri.

The OIG recommended agencies share available Medicaid eligibility information to:

  • Determine accurate beneficiary eligibility status
  • Reduce the amount of payments made on behalf of beneficiaries residing in the other state

Click here to read the audit of the Missouri state agency and here to read the audit of the Kansas agency.

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