Submitting OIG:
Report Description:
The State agency claimed Medicaid reimbursement for some Adult Day Health Care Services (ADHC) services provided by Center for Nursing and Rehabilitation (CNR) that did not comply with certain Federal and State requirements. Of the 100 claims in our random sample, 90 complied with Federal and State requirements, but 10 did not. We estimated that the State agency improperly claimed at least $283,000 in Federal Medicaid reimbursement for ADHC services provided by CNR that did not comply with certain Federal and State requirements.
Date Issued:
Wednesday, November 25, 2015
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-02-12-01015
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
NY
United StatesType of Report:
Audit
Questioned Costs:
$283,386
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
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Additional Details Link: