Follow-up audits in PA, CA yield positive results
Healthcare Auditing Weekly, March 18, 2008
Follow-up audits in Pennsylvania and California found both states implemented all or most of the recommendations from previous OIG audits.
Pennsylvania's state agency introduced a new Medicaid Management Information System, the PROMISE System, which corrected the weaknesses noted in the OIG's prior review, according to the follow-up audit. The state agency established controls over collecting rebates on single source drugs administered by physicians, and the OIG offered no further recommendations.
The California state agency implemented the prior recommendation related to dispute resolution and established controls over collecting rebates on 81 single source drugs administered by physicians, according to the follow-up audit. However, it did not fully implement the quarterly reporting recommendation. The state agency plans to have a system in place to capture and document data to support rebate amounts reported to CMS quarterly by July 15.
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