MA Auditor Finds More Than $17.6M in MassHealth Fraud

MA Auditor Finds More Than $17.6M in MassHealth Fraud

Bump Says Findings Pointing to Persistent Deficiencies in Payment System BOSTON, MA — Auditor Suzanne M. Bump today announced that during a one year period, her office’s Medicaid Audit Unit identified more than $17.6 million in unallowable, questionable, duplicative, unauthorized, or potentially fraudulent billings at MassHealth. She estimates that corrective actions would save $8.6 million […]

Audit Finds $15 Million in Inappropriate Payments from MassHealth

Audit Finds $15 Million in Inappropriate Payments from MassHealth

Bump Calls on MassHealth to Address Systemic Problems in Program BOSTON, MA — Auditor Suzanne M. Bump today released an audit that found that, during a roughly five-year period, MassHealth  inappropriately paid $15,201,854 for adult foster care (AFC) and group adult foster care (GAFC) services for members in long-term care facilities (LTC), which is prohibited […]

MA State Auditor Wins National Award for Combatting Waste at MassHealth

MA State Auditor Wins National Award for Combatting Waste at MassHealth

  Massachusetts State Auditor Suzanne M. Bump has been selected to receive the National State Auditors Association (NSAA) Excellence in Accountability Award for its audit of payments made by MassHealth for services that should have been paid for by Managed Care Organizations (MCO). The audit for which the Auditor’s Office will receive this award found […]

Auditor Bump Finds MassHealth Making Payments to Providers Prohibited by Federal Law

Auditor Bump Finds MassHealth Making Payments to Providers Prohibited by Federal Law

BOSTON, MA — Massachusetts State Auditor Suzanne M. Bump has released the findings of her audit, announcing that MassHealth, the state’s Medicaid program, paid a total of $476,787 for medical services or prescriptions from doctors that are disallowed by federal law from participating in the program. The prohibition resulted from violations of federal laws and […]