Wednesday, November 26, 2008
Auditor, Medicaid office dispute overpayments
BOSTON -- Auditor Joseph DeNucci estimates that the Massachusetts Medicaid program may have paid $12 million more than it should for medical equipment reimbursements.
In an audit released yesterday, DeNucci called the potential payments "excessive and questionable."
He said MassHealth -- which administers the federal program -- overpaid for equipment claims that were never verified or proven necessary. He says it also could have saved money by paying for equipment at better rates of reimbursement.
DeNucci's estimate was partly based on an examination of a sample of medical equipment claims paid by MassHealth.
MassHealth says its processes more than 70 million claims a year and its own examination shows the claims were "properly supported, authorized and submitted."
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