NY auditors cite $11.4M in Medicaid overpayments

Posted at: 07/10/2013 7:18 AM

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New York auditors say the state's Medicaid program overpaid health care providers $11.4 million, largely from overstated Medicare coinsurance charges and incorrect rate changes.
    
Comptroller Thomas DiNapoli says the state has recovered $3.8 million so far and the state's Medicaid system "continues to be rife with waste."
    
Many of its Medicaid recipients are also eligible for the federal Medicare program, which is the primary payer, with Medicaid paying the balance.
    
An audit of 2009 data shows Medicaid overpaid more than 210,000 claims by more than $7 million.
    
Auditors also examined the six months ending in March 2012, when the state health department's computer system processed 233 million claims paying providers about $25 billion.
    
They report finding about $4.1 million in overpayments from inaccurate retroactive rate changes and other billing errors.


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