MS Medicaid Recovers $8.6 M in Fraud, Improper Payments

August 31, 2017 – The Mississippi Division of Medicaid (DOM) recuperated $8.6 million dollars from claims that were either straight deceitful or poorly submitted, the DOM revealed in a news release.

Through cooperation in between Medicaid Fraud Control Units (MFCUs) and the DOM Program Integrity Unit, the state of Mississippi had the ability to recuperate roughly $6.3 million through 3rd party liabilities, $1.6 million through program stability, and another $680,000 through monetary and performance evaluations.

7 cases of deceptive billing were described a MFCU in the Mississippi attorney general of the United States’ workplace, which recognized $3.1 million in incorrect billings.

The DOM, which is accountable for a $6 billion state Medicaid budget plan, regularly evaluates costs as a procedure to holds service providers and recipients liable for program use.

” This is federal and state money that we have a duty to recuperate, but at the very same time we put a great deal of effort into avoiding it in the very first place through policy and system modifications,” stated Dr. David J. Dzielak, executive director of the DOM.

The Attorney General’s workplace also kept in mind that securing the Medicaid program from scams makes sure the program’s future and enables it to offer services for the state’s most susceptible clients.

” Our collaboration with the Division of Medicaid, particularly the Program Integrity Unit, plays a crucial function in continuing the battle versus scams in health care advantage programs,” said Attorney General Jim Hood.

” The Medicaid Fraud Control Unit staff is dedicated to safeguarding our most susceptible residents and the resources had to serve them. Not just does our collaboration permit the prosecution of those defrauding the program and the prosecution of those abusing and overlooking clients, but it also enables court purchased restitution and charges in both criminal and civil cases.”.