Wednesday, August 05, 2015

Banned Medicaid providers still participate in some states, report says

Banned Medicaid providers still participate in some states, report says:
"Hundreds of medical providers banned from a Medicaid program in one state are able to take part in another state's program despite regulations designed to stop them, according to a report by an independent federal auditor to be released on Wednesday.
The continued participation of banned providers leaves state Medicaid programs for the poor and disabled vulnerable to fraud, waste and abuse, according to the study, which says the problem reflects a struggle by states to communicate with one another.
...“If a provider has been terminated by a state, that is a red flag, because it would indicate there was a problem either in billing or the way they handle patients," said Deborah Cosimo, team leader for the report. "
Do states really want to trust beneficiary care to someone who has problems like that?”

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