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Audit finds questionable Wis. Medicaid payments

By ASSOCIATED PRESS   Thursday, December 11, 2008 - 10:03 a.m.
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MADISON, Wis. (AP) — An audit says the state paid a nursing home more than $1,500 to transport a Medicaid patient one mile.

That flagrant overpayment is included in a report by the Legislative Audit Bureau that identified $268,000 in potentially improper payments to Medicaid providers.

The questionable payments to nursing homes, pharmacies, chiropractors and dentists were identified during a review of 9.4 million claims paid by the state in 2005-2006.

Auditors say 65 nursing homes were paid an estimated $108,700 in transportation costs that appear to be improper.

Transportation providers were supposed to be paid $11.87 for the first five miles and $1.25 for each additional mile.




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(10)
bullyk9
Dec 12, 2008 at 9:51 a.m.
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The article doesn't say that the state was billed wrong, maybe the state employee entered it wrong. Imagine the state making a mistake.

gina51
Dec 11, 2008 at 8:52 p.m.
Suggest removal

And what's up with AIG STILL paying their top execs 1-4 MILLION dollar bonuses? Is that with the money the taxpayers gave them ? And this after the flagrant party they gave after they got the money ?

twerp13
Dec 11, 2008 at 4:45 p.m.
Suggest removal

maybe if the state was repaid for these expenditures we wouldn't be in a deficit. Hmmm think we will ever see a repayment? Maybe the people who over billed should be denied future payments until we are sure they are caught up with the over payment. That is one way to help ease the budget crunch for the state.

prevention
Dec 11, 2008 at 4:08 p.m.
Suggest removal

With corrupt politicians, is it a surprise that places are overpaid? Or is it the other way around. Of course, Mercy was paying into Rod Blago (IL governor) to 'quickly process' their private interests. Surprise, surprise!

billnewbie
Dec 11, 2008 at 3:13 p.m.
Suggest removal

It's a lot easier to get charges to "stick" if the overseers are incompetent.

janesvillean
Dec 11, 2008 at 3:10 p.m.
Suggest removal

Individual incorrect or inflated claims are usually handled administratively, however, rampant and systematic abuse by an institution can certainly be the basis for a fraud prosecution.
.
If you've ever "audited" your own hospital bills then you know the practice is (broadly) to throw charges at the insurance provider and see what sticks.

jethrobodean
Dec 11, 2008 at 2:21 p.m.
Suggest removal

"nursing homes, pharmacies, chiropractors and dentists were identified"

And Wheres the mention of the biggest scamming machine , the corrupt Hosiptal?

billnewbie
Dec 11, 2008 at 1:57 p.m.
Suggest removal

Well, someone filed an invoice with Madison and it was apparently paid without question. If they don't read these bills when they pay them, what do we need them for?
.
What we have here is corruption by the vendors and incompetence by the government employees. I'm not sure which is worse.

woodsman
Dec 11, 2008 at 1:33 p.m.
Suggest removal

And this "IS" only the tip of the iceburg,of the Government being ripped off. WHY AREN'T THESE PEOPLE THAT DO THIS TO US,being put in JAIL,and repayments being made??

snarly
Dec 11, 2008 at 12:21 p.m.
Suggest removal

HMMMMMMMMMMMMMMMMM can we say rip off ,stealing,scam and so on.

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