Share “Oklahoma Health Care Authority approves...”

Oklahoma Health Care Authority approves funds for recovery audit contractor

The Oklahoma Health Care Authority will hire a recovery audit contractor through competitive bidding. The contractor will audit claims and look for overpayments and underpayments.
FROM STAFF REPORTS Published: November 2, 2012
Advertisement

On Thursday, Oklahoma Health Care Authority board voted to approve spending money to hire a recovery audit contractor.

This contractor, which will be hired through competitive bidding, will audit Medicaid claims and look for overpayments and underpayments. The contractor will also try to recoup this money when possible.

The Oklahoma Health Care Authority is in charge of Oklahoma's Medicaid program known as SoonerCare. The authority has a program integrity unit that already audits the money that medical professionals receive for the services they provide Medicaid patients.

However, federal regulation requires the authority to hire a recovery audit contractor.

Mike Fogarty, the health care authority CEO, said he thought the board should approve the action, even though he thought it was a waste of federal money for a recovery audit contractor to provide this service in Oklahoma.

“When you take a state like Oklahoma that has an error rate of under 2 percent, (the federal government) probably could better spend their resources somewhere that's closer to the average Medicaid error rate of 8 percent or 9 percent, and not paint all states with this broad brush,” Fogarty said.

Fogarty said he was concerned that Medicaid providers in Oklahoma will have mostly negative experiences with the recovery audit contractor.

Continue reading this story on the...


AROUND THE WEB

  1. 1
    Lankford: Changing Washington 'takes strong families, strong churches and strong communities'
  2. 2
    Trial delayed for former sheriff's deputy charged with sexual battery
  3. 3
    County Commissioner booked on new charges; discussion on ouster set for Monday
  4. 4
    Woman shot in head, found dead in car in Tulsa
  5. 5
    Caitlyn Jenner effect: College orders 'gender neutral' language on campus
+ show more

FEATURED JOBS



× Trending health Article