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HRD-83-9 1 (1982-10-14)

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BY T I US, GENERAL ACCOUNTING OFFICE


Report To The Chairman, Select

Committee On Aging

House Of Representatives


                           A-e  * t j e    .. o  s of specitic approval
              A Y the did Ctsl atoned,

Audit Of Medicaid Costs Reported


RELEASED


By Autumn Hills Convalescent Centers,

Inc., Houston, Texas


Although the central office costs reported
by Aotumn Hills for 1978 and 1980 included
signi icant amounts of unallowable and
questionable costs, under Texas' rate-
setting methodology these amounts had no
effect on what Autumn Hills and other
homes in the State were or will be paid.
GAO believes the State should modify its
apprp)ach to auditing nursing homes to
focu on those facilities whose reported
cost are most likely to have the greatest
impa :t on the payment rates.

One Autumn Hills home has had a history
of in dequate nursing staff to meet State
stan ards, and this problem was also iden-
tifie(I during the more recent period covered
by GO.


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119872


GAO/HRD-83-9
OCTOBER 14, 1982


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