tci Medicare Compliance & Reimbursement - 2003 Issue 14

Medicaid: SCHOOL-BASED SERVICES DRAW FRAUD-FIGHTERS' NOTICE

Medicaid rules and regulations cast a wide net, and sometimes the fraud and abuse perils that lurk within the regulatory tangle snare unexpected victims. Case in point: School districts can bill Medicaid for some school-based health services, but the HHS Office of Inspector General has long worried that many districts just aren't getting the rules. But OIG anxiety isn't the end of the story - if blunders conceivably rise to the level of fraud, the stakes can be huge. Case in point: Oregon Attorney General Hardy Myers and U.S. Attorney Michael Mosman March 14 announced that the Beaver...

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