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HRD-80-77 1 (1980-06-10)

handle is hein.gao/gaobabaqr0001 and id is 1 raw text is: iiiii~~~ ~~ IIIIIII I BY THE U,S, GENERAL ACCOUNTING OFFICE Report To The Secretary Of Health And Human Services States Should Intensify Efforts To Promptly Identify And Recover Medicaid Overpay- ments And Return The Federal Share The Health Care Financing Administration had not established consistent policies and guidelines for States to use in identifying and recovering Medicaid overpayments. Also, States had not developed systems and procedures for effec- tively controlling, pursuing, and recovering identified overpayments and for promptly re- turning the Federal share of recovered overpay- ments. In the five States--California, Georgia, Florida, New York, and South Carolina-in our review, at least $222.6 million in substantiated and potential overpayments had been identified but not recovered, even though much of this amount had been outstanding for rrny years. Also, millions of additional dollars in potential overpayments had not been recovered-because some States were far behind in making institu- tional settlement audits and these audits generally identify large amounts of overpayments. Furthermore, the five States had recovered about $18.7 million in Medicaid funds for which they had not returned the Federal share. In some in- stances these funds had been on deposit in State accounts for several years. V D STPI 112540 HRD-80-77 JUNE 10, 1980

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