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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Medicaid Payments by Nebraska Department of Social Services to Rivendell of Nebraska," (A-07-93-00635)

July 27, 1994

Complete Text of Report is available in PDF format (3.2 MB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This final audit report points out that the Nebraska Department of Social Services (DSS) made overpayments totaling $2,163,243 (Federal share $1,319,490) for services provided to Medicaid recipients at Rivendell of Nebraska, a psychiatric hospital for children and adolescents. The overpayments occurred because DSS based their payments on Rivendell's unaudited cost reports which contained costs not allowed by the Health Care Financing Administration regulations. In addition to financial adjustments, we recommended that DSS ensure that an intermediary is assigned to audit Rivendell's future cost reports. The DSS agreed with our findings.