The audit found most of the unallowable Medicaid payments, $347.5 million, reflected unclaimable medical expenses. These included providing nonemergency care to undocumented persons and providing outpatient care to prisoners, among other services, according to the audit.
Jackson Memorial disagreed with most of the OIG’s findings. The hospital said OIG incorrectly determined it should offset Medicare and commercial insurance payments against costs for patients who are eligible for both Medicare and Medicaid. OIG stood by its findings with one exception, recommending Florida establish procedures for Jackson Memorial to return the funds.
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