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Audit (A-07-09-01078)

04-27-2010
Review of Iowa Medicaid Payments for Home Health Agency Claims Paid to Ultimate Nursing Services of Iowa, Inc.

Executive Summary

We estimated that Iowa improperly claimed $57,000 ($38,000 Federal share) for HHA services provided by Ultimate Nursing Services of Iowa, Inc., that did not comply with Federal and State requirements. Although Iowa had a process in place to monitor some home health agency (HHA) claims on a postpayment basis, and although Iowa enhanced this process in January 2009, these internal controls and related measures did not prevent the overpayments.

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