“That’s a waste of tax dollars and drains resources from the people who need them.”
Adult medical day care centers keep elderly and disabled people out of nursing homes, by serving them meals, helping them bathe and administering their medications. But in New Jersey, an investigation found 21 centers also helped themselves to extra payments by overbilling for time never spent with their clients.Tuesday that said these center operators overbilled the Medicaid program, supported by tax dollars from the federal and state governments, nearly $1 million.
Investigators discovered $946,087 in improperly spent Medicaid funds, and have recovered $839,000 of that amount. Negotiations are ongoing. “These errors also have potential implications for the quality of care,” according to the report. “If an adult medical day care cannot keep accurate records showing when a beneficiary is present at the facility versus in the hospital, there is a higher risk that the facility may not know what services need to be performed for a beneficiary or whether a beneficiary has received medically necessary services.
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