Medicaid payments from the state to hospitals, nursing homes, hospices and rural health clinics frequently relied on inaccurate rates and unsubstantiated claims, resulting in potentially millions of dollars in overpayments during the 2007-09 period reviewed by state auditors.
Even the state Agency for Health Care Administration’s attempts to ride herd on these payments was flawed. A $1.8 million annual contract with a Jacksonville-based health-care auditing firm, First Coast Service Options, was issued without recommended competitive bidding, auditors found.
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