tci Medicare Compliance & Reimbursement - 2003 Issue 10

Medicaid: OIG EYES BAY STATE SCHOOL SERVICES

Two school districts in Massachusetts could do more to ensure that their Medicaid claims for school-based health services are in line with federal billing rules, the HHS Office of Inspector General declares in a pair of new reports. Part of an ongoing series on school-based health care, the reports — which deal with schools in Springfield, MA and Holyoke, MA — identified purported problems with documentation, practitioner qualifications and costs incurred when students were absent. The reports are titled “Medicaid Payments For School-Based Health Services Holyoke, Massachusetts — July 1999 Through June 2000” (A-01-02-00004) and “Medicaid Payments...

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