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Medicaid billing weakness hinders audits: HHS
Modern Healthcare

In an audit of audits, HHS‘ inspector general’s office has concluded that limitations in the quality and completeness of Medicaid billing data has limited the ability of government contractors to find out which healthcare providers are receiving overpayments from the government.

The report (PDF) says that the CMS projected that 161 audits of specific healthcare providers since January 2010 were expected to return up to $33.5 million in overpayments. Instead, as of February 2012 the audits yielded $286,000 in recoveries.