Nursing Facilities in Virginia Generally Reconciled Account Records With Credit Balances and Reported the Associated Medicaid Overpayments to the State Agency

Generally, sampled nursing facilities in Virginia reconciled account records with credit balances and reported associated Medicaid overpayments to the Virginia Department of Medical Assistance Services. However, at the time of our review, Virginia had not refunded Medicaid overpayments of $23,000 ($13,000 Federal share) associated with credit balances within account records. On the basis of these results, we estimate that Virginia could realize an additional statewide recovery of $204,000 ($111,000 Federal share) from our audit period and obtain future savings if it enhanced its efforts to recover overpayments in nursing facility accounts.