News Headlines Article

Improper Medicaid payments have nearly doubled since fiscal 2013
Modern Healthcare

The CMS has seen a dramatic increase in improper Medicaid payments and says the Affordable Care Act may be the cause.The Medicaid improper payment rate has jumped from 5.8% or $14.4 billion in fiscal 2013 to 9.78% or $29.12 billion in fiscal 2015, according to an HHS financial audit (PDF)released Nov.13.An improper payment can occur when funds go to the wrong recipient, the right recipient receives the incorrect amount of funds, documentation is not available to support a payment or the recipient uses funds in an improper manner. The tally includes fraudulent claims but is not a measure of fraud.

Commands