The state recovered more than $3 million in inappropriate Medicaid payments to providers, according to news from the Colorado Attorney General’s office.
The recovery is the result of an industry-wide, 18-month investigation by the state’s Medicaid Fraud Control Unit. The unit uncovered violations of state law and Medicaid rules that resulted in overpayments to epidural anesthesia providers. The providers allegedly double-billed for the service and billed for services that were not documented.
“Returning millions of dollars to Colorado taxpayers is vital to ensure that our Medicaid system works properly and effectively,” said Attorney General Cynthia Coffman in a statement. “I appreciate the diligent work of our Medicaid Fraud Control Unit and the Department of Health Care Policy and Financing to achieve this positive outcome.”
Anesthesia providers who have paid the money back to the Colorado Department of Health Care Policy and Financing:
- Banner Greeley Anesthesia: $2.1 million
- Catholic Health Initiatives: $412,725.64
- Longmont Anesthesia: $155,014.44
- Kaiser Health Plan Colorado: $115,014.44
- Eastern Plains(Colorado) Anesthesia: $85,926.11
- Colorado Anesthesia Group, LLC: $68,635.96
- Alta Anesthesia PC: $29,100.60
- Glenwood Springs Anesthesiology LLC: $16,006.32
If Coloradans suspect Medicaid fraud they can file a report with the Attorney General Office at 800-222-4444 or www.StopFraudColorado.gov.