MDA - Medicaid Audit

This page contains links to many of the published decisions that involve Medicaid Audits.

Accusation

Audit Method

Background Check

Billing Codes

Billing Manual

Burden of Proof

Documentation

Electronic Medical Records

Encounter Rate Payments

Medical Necessity

Mediset Prescriptions

Over Dispensing Prescription

Overpayment

Partial Fill of Prescription

Per Diem Rate, Services Covered By

Provider Records

Rate Charged for Services

Rate Reduction for Not Submitting Financial Data

Reliance on Government position or assertion (Estoppel)

Service Location

Summary Adjudication

Timeliness of Appeal

Timesheets, "Live In"