GOV’T AUDIT INSIDER: Kansas overclaimed more than $58 million
Healthcare Auditing Weekly, March 15, 2005
Kansas overclaimed more than $58 million
Between April 1, 2001 and September 30, 2002, Kansas made upper payment limit (UPL) payments to nursing homes that exceeded allowable limits, according to an OIG audit report. As a result, the state overclaimed expenses by $58.3 million. The UPL is an estimate of the amount that would be paid for Medicaid services under Medicare payment principles. The OIG recommends that Kansas reduce the claimed expenses on its CMS-64 quarterly expenditure reports by $58.3 million for the audited period.
During the audit, the OIG did the following:
Click here to read the audit report, "Review of Medicaid Upper-Payment-Limit Requirements for Kansas Nursing Facility Reimbursement," (A-07-03-02672) issued February 9.
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