Tag Archives: Overpayments

GAO Recommends Changing Medicaid Audit Program Due To Poor Results

It appears that the National Medicaid Audit Program hasn’t been worth the money it cost to run.  According to published testimony released by the Government Accountability Office (GAO) today, only 4% of the 1,550 audits, though, resulted in refunds to the government of approximately $7.4 million.  More than two-thirds of the audits found no overpayments.  The remaining 27% … Continue Reading

Proposed Rule for Overpayment Refunds — 10 year look-back and more

On February 16, CMS published a proposed rule regarding providers’ obligation to return any overpayments within 60 days of identifying such overpayment.  The proposed rule expounds on 60-day repayment obligation, which became effective in 2010 with the passage of PPACA, in ways that may give providers comfort in some areas but that will likely lead to … Continue Reading