Corporate Compliance

GOV’T AUDIT INSIDER: Accurate time studies needed in Kansas

Healthcare Auditing Weekly, May 10, 2005

Accurate time studies needed in Kansas

Kansas did not claim Medicaid reimbursement for administrative costs associated with school-based services for fiscal year (FY) 2002 in accordance with federal regulations because they used inaccurate time studies and cost reports, according to an OIG audit report. The four school districts reviewed completed 773 of 1,937 time studies inaccurately, and one school district submitted inaccurate cost reports. The OIG recommends that Kansas ensure claims submitted for reimbursement are based on accurate time studies; ensure school districts submit accurate and reliable cost reports; refund the federal share that did not qualify for Medicaid reimbursement; and review time studies completed by the 152 school districts that were not audited for FY 2002 and for all school districts for previous and subsequent years and refund any overpayments occurring because of inaccurate time studies.

During the audit, the OIG did the following:

  • Reviewed applicable federal criteria

  • Interviewed officials and reviewed Kansas' policies and procedures

  • Reconciled amounts claimed for federal reimbursement to computer reports provided by Kansas

  • Determined if supporting quarterly cost reports complied with the Kansa Claiming Guide

  • Reviewed training records and skilled professional licenses at the four school districts

  • Reviewed time study forms completed by the four school districts

    Click here to see the report, Medicaid School-Based Administrative Activities in Kansas,"(A-07-03-00154) issued April 4.

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