Skip to main content
U.S. flag

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Excessive Payments for Pathology and Laboratory Services Under Virginia's Medicaid Program for Calendar Years 1995 and 1996

Issued on  | Posted on  | Report number: A-03-97-00200

Report Materials

EXECUTIVE SUMMARY:

This final audit report points out that the State agency made excessive Medicaid payments totaling $1,629,750 (Federal share) for pathology and laboratory services in Calendar Years 1995 and 1996. The payments were excessive because they exceeded Medicare limits. The State Medicaid Manual limits Medicaid reimbursement for clinical laboratory tests to no more than amounts recognized by the Medicare program. We recommended that the State agency: (1) revise its laboratory fee schedule amounts to conform to limits established by the Medicare program; (2) implement procedures to monitor changes to Medicare laboratory fee schedules to ensure that Medicaid fees do not exceed Medicare limits; and (3) make a financial adjustment for $1,629,750.


-
-
-