North Dakota is the only state without a Medicaid fraud unit because of a federal waiver the state attained in 1994 after asserting the program had minimal fraud. The audit said the unit within the department that investigates fraud allegations for possible prosecution “is not currently conducting adequate investigations and, as a result, is not referring cases for further investigation and prosecution,” according to the report.
Additionally, auditors say the department treats overbilling incidences as errors and simply asks for repayment when some of the incidences could be possible fraud cases, according to the report.
In response, the department said it would increase efforts to spot Medicaid fraud.
Read the Grand Forks Herald news report about the North Dakota fraud audit.
Read other coverage about Medicaid fraud.
– Vermont Oral Surgeon Accused of 23 Counts of Medicaid Fraud Pleads Not Guilty
– New Jersey Pharmacist Gets 3 Years on Prison for Filing False Claims, Defrauding Medicaid Program
– Women’s Clinic in Utah Being Investigated for Medicaid Fraud
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
