Audit: Nebraska claimed duplicate charges
Healthcare Auditing Weekly, December 12, 2006
Not all of Nebraska Department of Health and Human Services, Finance and Support's claims for reimbursement of Medicaid outpatient drug expenditures complied with federal requirements, a recent OIG audit found.
The OIG conducted the review of the state agency's claims for fiscal years 1998 through 2004.
The state agency claimed duplicate expenditures for some outpatient drugs. During 2003 and 2004, the agency claimed unallowable expenditures for drugs that were terminated, less than effective, or inadequately supported, the OIG stated.
The OIG recommended that the agency refund the government $562,101 for duplicate expenditures and drug expenditures that were not eligible for Medicaid coverage. The OIG also asked the agency to work with CMS to resolve more than $600,000 in payments from drugs that were not listed on the quarterly drug tapes and that may have not been eligible for Medicaid coverage.
The agency agreed with the OIG's findings and recommendations.
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