Health Law Blog

OMIG Highlights Errors in Home Health Payments

The New York State Office of the Medicaid Inspector General announced on October 30 that it has recovered the single largest monetary recovery in its history, a sum of $211 million.  The repayment stems from an investigation of payments made on behalf of dually-eligible individuals, who are eligible for both Medicaid and Medicare.  The overpayments were identified within the Third Party Liability Home Health Care Demonstration Project, which targeted dual-eligible populations who received home health care.

Notably, the audit that led to this recovery was conducted using a sampling technique, rather than an individual, case-by-case analysis of each claim submitted.  The audit indicated that in some cases, Medicaid was billed first for services rendered to the beneficiary and then Medicare was billed, rather than the other way around.

The OMIG’s press release in this matter may be viewed here: http://www.omig.ny.gov/latest-news/697-496-million

 

Caitlin Monjeau contributed this post.

Tagged with: Medicaid, Medicare, Office of the Medicaid Inspector General, OMIG,

Categories: Medicaid, Medicare, NY Office of Medicaid Inspector General,

Locations

The culture of teamwork and collaboration at O’Connell and Aronowitz helps our three office locations assist clients in a myriad of legal disciplines and harness the talents of O’Connell and Aronowitz attorneys across New York State. We offer the experience, resources, and skills to help you protect your rights and your best interests.

Albany

54 State Street
Albany, NY 12207

tel: 518.462.5601
fax: 518.462.2670



Saratoga Springs

1 Court Street
Saratoga Springs, NY 12866

tel: 518.584.5205
fax: 518.584.5441