Submitting OIG:
Report Description:
Although the Arizona Health Care Cost Containment System (State agency) made Medicaid electronic health record (EHR) incentive program payments to eligible hospitals, it did not always make these payments in accordance with Federal and State requirements. Specifically, from October 1, 2011, through January 31, 2016, the State agency made incorrect Medicaid EHR incentive payments to 24 of the 25 hospitals reviewed, totaling $15 million. These incorrect payments included both overpayments and underpayments, resulting in a net overpayment of $14.8 million. Because the incentive payment is calculated once and then paid out over 4 years, payments made after January 31, 2016, will also be incorrect. The adjustments to these payments total $1.7 million.
Date Issued:
Thursday, August 4, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-15-02036
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
AZ
United StatesType of Report:
Audit
Questioned Costs:
$14,830,859
Funds for Better Use:
$1,674,728
Number of Recommendations:
5
View Document:
Attachment | Size |
---|---|
91502036.pdf | 2.62 MB |
Additional Details Link: