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120146 1 (1979-02-15)

handle is hein.gao/gaobacxuy0001 and id is 1 raw text is: '(ceot HUMAN RESO DIV IS1I UNJTED STATES GENERAL ACCOUNTING OFFICE WASHINGTON. D.C. 20548 URCES February 15, 1979 Mr. Leonard Schaeffer, Administrator Health Care Financing Administration Department of Health, Education, and Welfare Washington, D.C. 20201 120146 Dear Mr. Schaeffer: . On January 9, 1979, we issued a report to the Congress entitled Problems in Auditing Medicaid Nursing Home Chains (HRD-78-158). One of the nursing home chains discussed is Sunset Nursing Homes Incorporat- ed of Miami, Florida, and is identified as chain F in the report (see pp. 27-29). As the report indicates, this chain's Georgia homes-apparent- ly overcharged the Medicaid program for fiscal -year 1976 management fees. We could not determine the precise effect of the apparent overcharge .because in June 1977 the chain denied us access to its records; however, it appears that as a minimum, the amount involved would be Medicaid's share of $125,000 or about $121,000. Although Georgia audited the chain head- quarters for fiscal year 1977, the apparent overcharges to the Medicaid program for fiscal year 1976 will go uncorrected unless an audit is per- formed for fiscal year 1976 and appropriate adjustments made. We recommend that you ask the Georgia Department of Medical Assistance to audit the management fees claimed by this chain's Georgia homes for fiscal year 1976. As discussed in the report, the Florida Department of Health and Rehabilitation Services has audited this chain, and the Georgia audit for fiscal year 1976 should be coordinated with Florida's efforts. We would appreciate your advising us of any actions taken or planned regarding this matter. Sincerely yours, obe Iffer . Assistant Director ,* 4 *1 I

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