National Medicaid Audit Program: Reporting and Focus on Audit Collaboration with States - Paperback

by U S Government Accountability Office (Author)

The Medicaid program consists of 56 distinct state-based programs that operate within broad federal guidelines. States are the first line of defense against Medicaid improper payments. Specifically, they must ensure the qualifications of the providers who bill the program, detect improper payments, recover overpayments, and refer suspected cases of fraud and abuse to law enforcement authorities.