Report Finds Medicaid Audit System Needs Overhaul

Law360, New York (March 21, 2012, 8:19 PM EDT) -- The system in place to flag and conduct Medicaid audits for fraud, wastefulness and abuse has glaring pitfalls, according to a report published Tuesday by the U.S. Department of Health and Human Services Office of the Inspector General.

The study re-examined audited Medicaid claims that had previously been marked as potential overpayments, filed between Jan. 1 and June 30, 2010, in an attempt to gauge the effectiveness and efficiency of the Medicaid Integrity Program, established under the Deficit Reduction Act of 2005 to pinpoint mismanagement in...
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