HHS uncovers Massachusetts scheme to over-bill Medicaid $106M

Massachusetts' health department has been caught trying to over-bill Medicaid for nearly $106 million, according to a Washington Examiner report.

Nearly half of the five million claims auditors sampled between 2008 and 2010 had been improperly adjusted by Massachusetts health officials who filed claims from as far back as 1988 as current expenses.

HHS inspector general auditors discovered the state voided old claims with low reimbursement rates and processed new claims with the higher reimbursement rate currently in place.

In the inspector general's opinion, Massachusetts should have to return the entire $106 million in Medicaid funds to the government and improve future adjustments.

 

 

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