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Nevada Medicaid Fraud Control Unit: 2018 onsite inspection
Nevada Medicaid Fraud Control Unit: 2018 onsite inspection
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Reports-in-brief (Promoting Women in Development (Project))
- Contributor(s):
- United States. Department of Health and Human Services. Office of Inspector General. Office of Evaluation and Inspections, issuing body.
- Publication:
- [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, June 2019
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Fraud -- prevention & control
Government Regulation
Medicaid
Nevada
United States - Genre(s):
- Technical Report
- Abstract:
- Why OIG Did This Inspection. The Office of Inspector General (OIG) administers the MFCU grant awards, annually recertifies each Unit, and oversees the Unit's performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic onsite reviews of Units and prepares public reports. What OIG Found. We found that during fiscal years (FYs) 2015–2017, the Nevada Medicaid Fraud Control Unit (MFCU or Unit) generally operated in accordance with applicable laws, regulations, policy transmittals, and the MFCU performance standards. However, from the data we reviewed, we identified three areas in which the Unit should improve its adherence to performance standards: (1) The Unit did not maintain approved staffing levels because of air contamination in the workspace, and it declined to fill vacant positions until this issue was resolved. (2) The Unit investigated few cases of patient abuse or neglect. (3) The Unit did not maintain an annual training plan. What OIG Recommends. To address the three findings, we recommend that the Unit: (1) Fill vacant positions now that the Unit is in a temporary workspace and continue to ensure that the Unit has a safe and adequate work environment. (2) Continue to take steps to increase the number of investigations of patient abuse and neglect. (3) Establish an annual training plan covering all professional disciplines within the Unit.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (30 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101757557 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101757557