Channel Sponsor - Coding/Billing/Collections

Sponsored by National Medical Billing Services | | (636) 273-6711

Medicaid reimbursed 6 Texas institutions an extra $57.8M due to erroneous calculations — 6 things to know


Medicaid paid facilities in Texas $57.8 million for services that didn't qualify for reimbursement, according to The Dallas Morning News.

Here are six things to know:

1. Six University of Texas academic health system facilities received reimbursements that did not qualify under federal and state requirements, due to erroneous calculations.

2. CMS reported it will look into the situation and work with the Texas Health and Human Services Commission to figure out a resolution.

3. The institutions were paid under the supplemental physician payment program. The payments under review occurred within this program, beginning in October 2006 and ending in 2011.

4. An HHS Inspector General audit found these facilities were reimbursed for services rendered by providers who were not eligible for Medicaid funds as well as services that did not qualify for federal health insurance program reimbursement.

5. The inspector general suggested the Texas Health and Human Services Commission refund some of the money under question to CMS.

6. The University of Texas commented its facilities will refund the amount CMS requests.

© Copyright ASC COMMUNICATIONS 2021. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


Featured Webinars

Featured Whitepapers