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$100+million audit finds $20 million in Medicaid fraud . . . Costs exceed results?

~ The Rebel ~ 2012/06/15 21:17:56
The federal program tasked with detecting Medicaid fraud costs more to operate
than it has recovered in overpayments, a government investigation found.

Since 2008, the government has spent $102 million on its Medicaid audit
program, which has only identified less than $20 million in overpayments,
according to a report released Thursday by the Government Accountability Office.
The report found that close to two-thirds of 1,550 audits of state records were
characterized as “unproductive” by the GAO, as they identified $7.4 million in
possible Medicaid overpayments since 2008.


Peter Budetti, the Centers for Medicare & Medicaid Services' director of
program integrity, told Bloomberg News that audits conducted by 10 contractor
companies have been discontinued, while the remaining five contractors will be
dropped or reassigned.

Read More: http://www.mcknights.com/medicaid-claims-audits-co...

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  • Schläue~© 2012/06/15 22:24:24
    Schläue~©
    +1
    Leave it to Washington to spend $100 Million to cover up 99% of the fraud and come up with only $20 Million to say.... "move along .... move along.... nothing to see here ....."
  • Rebel Yell 2012/06/15 22:12:18
    Rebel Yell
    In 2002-2009, the FBI took on Medicare / Medicaid fraud in Florida. Many were against that because they realized it would be time consuming for the FBI, who would be unable to tackle other crime issues. They discovered 90 million in fraud in Florida . The fraudsters had homes with golf courses and airports. Over 200 people were busted. It was just the tip of the iceberg in Florida.

    Among the crimes uncovered were doctors being offered financial incentives to bring in patients, falsifying diagnostic codes to increase reimbursements from Medicare and other government programs, and billing the government for unnecessary lab tests. The FBI kicked butt.

    And who was also in the fraud mix? None other than Gov Rick Scott, who had to step down as CEO of Columbia/HCA after the hospital giant was fined $1.7 billion and found guilty of swindling the government.
  • HarleyCharley 2012/06/15 21:43:30
    HarleyCharley
    +1
    typical...
  • Sheila 2012/06/15 21:30:20
    Sheila
    +1
    Those shovel ready jobs right? Cant lay off the auditors or his unemployment numbers will climb some more.

    This is TYPICAL of our broken system. The absolute corruption this evidences is a great visual for the Romney campaign it would seem.
  • Boris D. 2012/06/15 21:29:53
    Boris D.
    +2
    Obama was counting on these medicaid savings from fraud to help pay for Obama-care.

    This is a perfect example of government inefficiency. They are robbing us quicker than the actual robbers.

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2014/12/22 09:58:35

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