Report Materials
The objective of our review was to determine whether psychiatric services rendered on an outpatient basis were billed for and reimbursed in accordance with Medicaid requirements. Generally, we found that the Hospital received reimbursement for claims that were reasonable, necessary, and adequately supported by medical records. However, our analysis showed that $1,720 (Federal share $860) of the sampled claims did not meet Medicaid criteria for reimbursement. Claims found unallowable were for services with insufficient treatment plans or not properly supported by medical record documentation.
Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.