Corporate Compliance

GOV’T AUDIT INSIDER: Medicaid overpayments total $1.4 million in Nebraska

Healthcare Auditing Weekly, March 1, 2005

Nebraska's Department of Health and Human Services Finance and Support delayed reporting 448 Medicaid overpayments totaling $1.4 million from October 1, 2002 to September 30, 2003, according to an OIG audit report. Of that amount, Nebraska had not yet reported or returned 353 overpayments to the federal government, totaling $767,304. The OIG recommends that Nebraska return the federal share of overpayments as soon as possible and establish policies and procedures to ensure proper reporting.

During the audit, the OIG did the following:

  • Interviewed state agency officials

  • Reviewed documentation contained in provider case files

  • Compared the CMS 64 reports to supporting documentation

  • Calculated the number of days between the actual and required reporting dates and applied a cutoff date for those overpayments that remained unreported

  • Calculated potential lost interest to the federal share of late overpayments

    Click here to read the audit report, "Review of Nebraska's Accounts Receivable System for Medicaid Provider Overpayments," (A-07-04-03061) issued January 26

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