Review of Medicaid Claims Made By Freestanding Residential Treatment Facilities in New York State
July 2, 2008 The report conducted by the Office of the Inspector General (OIG) investigated Medicaid claims made by the New York Department of Health for 11 freestanding residential treatment facilities in New York State. The report noted that $21,531,996 was improperly claimed in Federal Medicaid reimbursement for services provided to beneficiaries. The amount comes from a total of 30 claims for individuals ages 22 to 64. Overpayment occurred as a result of the following three reasons: Improperly designated claims with detoxification rate code 4220, submitted by nine IMDs, as eligible for Federal Medicaid reimbursement  Improperly billed inpatient . . .
