U.S. flag

An official website of the United States government

Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Skip to Content

Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Medicaid Outpatient Psychiatric Services Provided By Hillside Hospital, North Shore Long Island Jewish Health System For Fiscal Year Ended September 30, 1999," (A-02-00-01023)

August 7, 2001

Complete Text of Report is available in PDF format (993k). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

The objective of our review was to determine whether psychiatric services rendered on an outpatient basis were billed for and reimbursed in accordance with Medicaid requirements.  Generally, we found that the Hospital received reimbursement for claims that were reasonable, necessary, and adequately supported by medical records.  However, our analysis showed that $1,720 (Federal share $860) of the sampled claims did not meet Medicaid criteria for reimbursement.  Claims found unallowable were for services with insufficient treatment plans or not properly supported by medical record documentation.