Arthur Morgan

JUST IN 🚨 The Federal Government permanently DENIES Minnesota $112.7 MILLION in Medicaid reimbursements after 78 of 330 sampled high-risk claims FAILED CMS's letter calls the claims “UNALLOWABLE” Those claims sampled had problems like billing dates that didn't match provider notes, unsigned or late provider agreements and missing assessments and treatment plans "This was sent to Minnesota's Medicaid director, calling them unallowable, saying they failed to meet requirements — The US Centers for Medicare and Medicaid Services says it found issues with 78 out of 330 sampled claims from providers, including missing or improper paperwork needed to show services were provided and met federal and state requirements.” "CMS used that sample to calculate the $112 million denial." Here’s some additional info The 78 claims that failed the review totaled only about $112,000. CMS then extrapolated that sample across a pool of more than 6 million high-risk claim lines to disallow $112,752,702. That’s roughly 1,000X the value of the failed claims The review targeted 14 high risk service areas, including personal care, adult day programs, behavioral health and housing stabilization 
CMS administrator Dr Oz said earlier this year that Medicaid funds were being withheld because of "systemic fraud" in Minnesota and that the state was "asleep at the wheel." CMS still hasn't decided on about $350 million more in payments it has already frozen to Minnesota The politicians need to be held accountable. Tim Walz and every Democrat in that state should be held accountable. Nothing will ever change until we have accountability