tci Medicare Compliance & Reimbursement - 2005 Issue 35

Enforcement Watch: OIG Eyeing Deceased Medicaid Patient Payments

Watch out for claims after a patient's date of death.Signs are pointing toward states cracking down on erroneous claims for deceased Medicaid patients.  Following liability contractor Health Management Systems and a state auditor's reports on Florida's more than $10 million worth of Medicaid overpayments from calendar years 1998 through 2001, the HHS Office of Inspector General issued its own report on Aug. 12. The OIG reviewed a sample of 200 Medicaid payments that the state issued during the audit period. The state paid 48 of the Medicaid payments after beneficiaries' deaths, which led to $15,765...

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