Audit: Nev. Medicaid overpayments exceed $1 mil.
By Sean Whaley, Las Vegas Review-Journal
CARSON CITY — An audit of the state Medicaid program released Monday identified more than $1 million in overpayments and improper billings.
Legislative Counsel auditors identified $780,000 in overpayments for behavioral health claims, and $285,000 in overpayments and improper billings for dental claims. The audit of the Division of Health Care Financing and Policy, which administers the Medicaid program, was reviewed by the Legislative Commission’s Audit Subcommittee.
Examples of overbilling included a dentist who submitted 4,177 claims, or 48 percent of all claims statewide, for “emergency treatment of dental pain — minor procedure” in fiscal years 2012 and 2013.