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Home Health & Hospice Week

Industry Note:

Watch Out For This OIG Work Plan Item

Published on Fri Jan 20, 2012

Medicaid overpayments could get you in trouble this year. Are you hanging on to a Medicaid overpayment and maintaining it as a credit balance? The OIG may want to chat with you in 2012. The HHS Office of Inspector General has some big plans next year for reviewing your Medicaid claims, and they span the whole spectrum of issues, according to the OIG's 2012 Work Plan. That includes overpayments. When you receive an overpayment from Medicaid, you are expected to send it back -- the amount of time you can spend before you refund the money varies from state to state, but if you are aware of an overpayment, you must pay it back. And the OIG is looking for practices that haven't been holding up their end of that deal. "We will review patient accounts of providers to determine whether there are Medicaid overpayments in the accounts with credit balances," [...]
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