Nebraska's Medicaid program refunded roughly $169,000 to the federal government after an audit discovered improper billing for hospital care, housecleaning and personal services, according to a Beatrice Daily Sun report.
The audit examined 100 randomly selected claims paid between Jan. 1, 2007, and June 30, 2009. There were errors in 92 of the 100 claims, and 81 had "potentially unallowable" costs, the report said. Additionally, the audit found 464 occurrences of patients receiving personal care services while hospitalized, which are violations of federal rules.
Auditors estimated Nebraska's Medicaid program claimed $7.4 million for services that may not have been permitted under federal and state rules. However, the $169,000 paid back was based on the 100 claims examined by auditors.
State officials with the program said they are correcting the errors with new filing rules and an automated billing system, the report said.
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The audit examined 100 randomly selected claims paid between Jan. 1, 2007, and June 30, 2009. There were errors in 92 of the 100 claims, and 81 had "potentially unallowable" costs, the report said. Additionally, the audit found 464 occurrences of patients receiving personal care services while hospitalized, which are violations of federal rules.
Auditors estimated Nebraska's Medicaid program claimed $7.4 million for services that may not have been permitted under federal and state rules. However, the $169,000 paid back was based on the 100 claims examined by auditors.
State officials with the program said they are correcting the errors with new filing rules and an automated billing system, the report said.
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