Submitting OIG:
Report Description:
The Texas Health and Human Services Commission (State agency) did not always calculate supplemental payments made to the University of Texas (UT) health institutions in accordance with Federal and State requirements. Specifically, the supplemental payment calculations included overstated Medicare equivalent fees for claims that included payment modifiers and diagnostic test modifiers, Medicaid services that were performed by ineligible providers, and Medicaid services that did not have Medicare equivalent fees. As a result, the State agency claimed $57.9 million (Federal share) in unallowable supplemental payments made to the UT health institutions for the period May 1, 2004, through September 30, 2007.
Date Issued:
Monday, August 8, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-11-00004
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
TX
United StatesType of Report:
Audit
Questioned Costs:
$57,884,268
Funds for Better Use:
$0
Number of Recommendations:
1
View Document:
Attachment | Size |
---|---|
61100004.pdf | 1.55 MB |
Additional Details Link: