Medicaid recoups $8.6M through identifying bad claims, fraud

The Mississippi Division of Medicaid recovered more than $8.6 million through audits of its medical claims in the fiscal year that ended June 30, according to a news release from the division Monday.

“Recouping funds can result from a range of factors that involve the payment or responsibilities of providers or beneficiaries, or even outright fraud, such as billing for health services a beneficiary did not receive from a provider,” the news release states. “Responsibly monitoring each dollar spent is a key part of how DOM holds both beneficiaries and providers accountable for using the program appropriately.”

Clarion Ledger
8/28/17