Medicaid audit finds $1 million in improper payments, billings

An audit of the state Medicaid program released Monday identified more than $1 million in overpayments and improper billings.

Legislative Counsel auditors identified $780,000 in overpayments for behavioral health claims and $285,000 in overpayments and improper billings for dental claims.

The audit of the Division of Health Care Financing and Policy, which administers the Medicaid program, was reviewed by the Legislative Commission’s Audit Subcommittee.

Examples of overbilling included a dentist who submitted 4,177 claims, or 48 percent of all claims statewide, for “emergency treatment of dental pain — minor procedure” in fiscal years 2012 and 2013.

Unlike other providers, this dentist submitted multiple claims for the same patient on the same day. For example, 24 claims for the treatment of dental pain were submitted for one patient on the same day. Auditors estimate the dentist was overpaid by nearly $124,000.

The same dentist also submitted 4,442, or 21 percent of claims statewide, for oral/facial photographs. Auditors found the dentist typically submitted many claims for photographs of the same patient on the same day. Auditors estimated the dentist was overpaid more than $67,000 for this in fiscal years 2012 and 2013.

During the two years reviewed in the audit, about 980,000 claims were paid for dental work totaling $61 million. Overall, dental claims represent about 1.7 percent of the division’s health care expenditures. 14, of Henderson. Her cause of death was listed Monday as multiple blunt force injuries caused by jumping from a height.

Yellow caution tape marked off a section of the Coronado football field Monday.

Buckley was a student at Coronado, Clark County School District spokeswoman Melinda Malone said.

The school principal sent a letter to parents about the girl’s death and to offer grief counseling to students.

“Our Coronado Cougar will always be remembered as a part of our school family by our staff and students and will be deeply missed,” Coronado Principal Michael Piccininni wrote in the letter.

The Review-Journal as a matter of policy does not identify those who commit suicide. The newspaper did so in this case because of the public nature of the death. Her name also had been publicized through social media. to community service and five years of probation.

In March 2014, Brown was kicked out of a court-ordered drug rehabilitation program in California and spent three months in jail.

In September, he admitted to punching a man in Washington D.C. in October 2013 and was given a timealready-served sentence. His probation ended in March. Brown was in Las Vegas performing at Drai’s Nightclub on Saturday night. He is scheduled to appear at the club again tonight to celebrate his birthday, according to Drai’s website.