Corporate Compliance

OIG finds wrong payments in Medicaid dental services

Compliance Monitor, October 3, 2007

The OIG found that 31% of Medicaid pediatric dental services in five states added up to $155 million in improper payments. The most common problems were documentation errors, which accounted for $138 million of the entire payment.

The OIG suggested that CMS develop prepayment edits to ensure correct documentation of pediatric dental services and help states in targeting medical reviews. CMS was also advised to help states create educational brochures for Medicaid dental providers that show the importance of documentation.

CMS said that it "did not disagree" with the suggestions made by the OIG.

To read the report click here.

Most Popular