Overpayments in the Texas Medicaid system could be as high as $732 million annually, with potentially improper payments most common in the vendor drug program, according to the state comptroller's office. Potential overpayments represented 20.5% of spending in the Medicaid vendor drug program, 19.9% of payments in the state employees workers' compensation program and 13.5% in Medicaid fee-for-service, the comptroller's office said. It recommended conducting regular audits of the drug program, contracting with a physician medical advisor for workers' compensation cases and increasing the use of professional nurse reviewers for Medicaid claims. Combined 2001 spending in the three programs was $4.74 billion. -- by Mary Chris Jaklevic
Overpayments common in Texas Medicaid: state
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