Nursing Facilities in Missouri Did Not Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency

Generally, nursing facilities in Missouri that we sampled did not reconcile invoice records with credit balances and report associated Medicaid overpayments to the Missouri Department of Social Services (State agency). The Medicaid overpayments associated with invoice records totaled $33,000 ($21,000 Federal share). Based on these results, we estimated that the State agency could realize an additional statewide recovery of $573,000 ($363,000 Federal share) from our audit period and obtain future savings if it enhanced its efforts to recover overpayments in provider accounts.