Medicaid frauds may have gotten up to $213 million from federal government

Healthcare providers banned from Medicaid may have been reimbursed $213 million in federal money, thanks to a state agency oversight, a government watchdog reported.

Valid identification numbers — identifiers that ensure providers are eligible for Medicaid reimbursements — were missing from 800,000 Colorado claims in 2011, the U.S. Department of Health and Human Services inspector general reported Wednesday.

The state reimbursed the providers $424.4 million for the claims, of which, $213 million was federal money.

"Medicaid claims submitted for reimbursement that do not have [identification numbers] are thus more vulnerable to improper payments," the report said. "In fact, it is possible that the state agency paid claims that had been submitted by federally banned providers."

Federal law requires that Medicaid claims must include valid identification numbers. Providers can be banned for reasons such as committing fraud.

Investigators reported that more than 798,000 of the 2011 claims totaling at least $212.1 million in federal money were missing identification numbers. Another 4,700 claims totaling about half a million dollars in federal money had identification numbers that did not match any provider.

The providers were reimbursed because Colorado's claims processing software didn't alert officials of invalid or missing identification numbers, the inspector general found.

read more:

http://www.washingtonexaminer.com/medicaid-frauds-may-have-gotten-u...

Views: 123

Reply to This

Replies to This Discussion

make those responsible repay out of their own corrupt pockets!!!!!  They surely pocketed a portion of the graft money themselves, they always do!!!!!

This truly makes me sick.  I hope when people pull off this fraud they realize this is the money of the tax payer.

In all Public Organizations, Federal, State, County, Cities, using 'Public Dollar's' should be helt to a 'higher standard' of Zero Tolerance.  Private Organizations, standards of fiscal control, will be set by their Boards, Shareholders, etc.  

Does, it surprise me about the 'lack or delayed, oversight of Public Agencies!  No!  With lack of Oversight, there can be 'breeding grounds' for 'Fraud, Waste and Abuse.'  So, yes everyone, involved with Spending is to blame for FWA, but the Overseer's, are the 'most to blame'.  Why?  Simple, they are not 'doing their jobs'!  If, they are over burden, then 'kick the cause' upstairs.  Get the 'Tool's, to support what ever is their mission.    As, a Taxpayer (not by far, the only one) its not Fair for other's to 'waste' funds or resources, these items, can be put to better use!  Can we blame, the One's who violated the Rules/Regulations, Sure!  Can they recoup those missing Millions, Sure they can!  But, does it Cost more to recover those funds?

As, a former controller of Public Funds, as additional Duty, it was one of the 'few' additional duties, that could get me jail time!  Did I take it seriously, you betcha!  As, a 'Auditor' other duty as assigned, I found and recovered several 'abuses' of Travel Voucher's.  For Everyone of us, that took all of our Duties, seriously, there was other's not so serious!  Eventually, the systems of 'Check and Balances' worked, but it took Work and Oversight!  "If you as a 'department' can't get the job done, quit and find a 'department' that can, there is no room for one dollar of Public Money, to be wasted.  Inspector General's of the USA Governance's, 'get the lead out, break the Routine of 'this is how we always did it', change Ways of Management, follow the Rules and Regulations, as written (plus Spirit of the Law) or change the one's not working and the Attitudes will follow!   I'm positive, maybe?  2015

If we did that we would be in jail.

I am sure that this estimate is low.

RSS

LIGHTER SIDE

 

Political Cartoons by AF BrancoPolitical Cartoons by Tom Stiglich

ALERT ALERT

TOTAL BULLSHIT!: Trump Goes Off On Mueller Report, People Who ‘Take So-Called Notes'

After a 22-month investigation — with 2,800 subpoenas, 500 witnesses and 500 search warrants, which generated thousands of pages of information, all costing upwards of $30 million — the media boiled it all down to two words: “I’m fucked.”

The media, toeing the line for Hillary Clinton — who, after her shocking and humiliating loss decided that she needed someone or something to blame and pointed a crooked finger at Russia — decided that President Trump all but admitted his alleged crimes with those two words.

In his report revealed on Thursday, Robert Mueller described a scene in the Oval Office that allegedly took place right after he was appointed special counsel and charged with investigating allegations that Trump or his campaign minions colluded with Russia to alter the outcome of the 2020 election.

“Oh my God,” the president told then Attorney General Jeff Sessions, according to the report. “This is terrible. This is the end of my Presidency. I’m fucked.” The interaction was recorded in notes taken by Session’s chief of staff, Jody Hunt.

Many media outlets did not include the context, which was plainly spoken by Trump at the same time. “Everyone tells me if you get one of these independent counsels it ruins your presidency,” Trump said. “It takes years and years and I won’t be able to do anything. This is the worst thing that ever happened to me.”

Luckily for America, he has been able to work through it all, returning the economy to its past glory, achieving record lows in unemployment, and much more.

Now, Trump is taking aim at “people that take so-called ‘notes.’ “

“Statements are made about me by certain people in the Crazy Mueller Report, in itself written by 18 Angry Democrat Trump Haters, which are fabricated & totally untrue. Watch out for people that take so-called ‘notes, when the notes never existed until needed. Because I never….” Trump wrote Friday morning on Twitter.

Donald J. Trump    realDonaldTrump

Statements are made about me by certain people in the Crazy Mueller Report, in itself written by 18 Angry Democrat Trump Haters, which are fabricated & totally untrue. Watch out for people that take so-called “notes,” when the notes never existed until needed. Because I never....

Trump got worked up after that, calling some tales told in the report “total bullshit.”

“[I]t was not necessary for me to respond to statements made in the ‘Report’ about me, some of which are total bullshit & only given to make the other person look good (or me to look bad). This was an Illegally Started Hoax that never should have happened,” he wrote.

Donald J. Trump   realDonaldTrump

Late Thursday night, Trump also praised Wall Street Journal opinion writer Kimberley Strassel, saying she “should get the Pulitzer. She is a treasure (and I don’t know her) who correctly called the Russia Hoax right from the start! Others who were soooo wrong will get the Prize. Fake News!”

Donald J. Trump    realDonaldTrump

Kimberley Strassel should get the Pulitzer. She is a treasure (and I don’t know her) who correctly called the Russia Hoax right from the start! Others who were soooo wrong will get the Prize. Fake News!

Kimberley Strassel    @KimStrassel

Jump to "where the Mueller team lists its 'prosecution and declination' decisions . . . try not to picture Mueller 'pit bull' prosecutor Andrew Weissmann collapsed under mountains of federal statutes after his two-year hunt to find one that applied."

In a tweet on Thursday, Strassel perfectly summed up the contents of the Mueller report.

“1) What is in the Mueller report: –endless, unrevealing details of inconsequential interaction between trump folks and Russians. –remarkable details about the many and varied statutes the SC [special counsel] nonetheless debated using to tie someone up for something on the Russia front,” she wrote.

Kimberley Strassel    @KimStrassel

1) What is in the Mueller report:
--endless, unrevealing details of inconsequential interaction between trump folks and Russians.
--remarkable details about the many and varied statutes the SC nonetheless debated using to tie someone up for something on the Russia front

SPECIAL VIDEOS

© 2019   Created by Steve - Ning Creator.   Powered by

Badges  |  Report an Issue  |  Terms of Service