The state recovered a record $26.5 million in wrongfully spent Medicaid funds in this past fiscal year, attributed to teamwork across several state agencies and close examination of computer records and provider bills.
Only about 20% of this was due to outright fraud, officials said, and the other 80% of that is due to mistaken billing. This is a fraction of the estimated $300 million Medicaid paid out incorrectly last year, based on a national projection that 5% of Medicaid bills are overpaid.
About $16 million of the returned Medicaid funds were a direct result of investigations and prosecution by the Attorney General’s Office, said spokeswoman Raquel Guillory. Roughly half of that money was paid back in civil settlements, while the other half was court-ordered restitution.
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1 comment:
80% bad billing mistakes, BS. Fire them incompetent people. 20% fraud needs to be prosecuted.
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