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Suit: State attorney fired after audit complaint

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Posted: Saturday, August 31, 2013 6:30 pm | Updated: 6:58 pm, Sat Aug 31, 2013.

A lawyer fired by the state Human Services Department is claiming whistle-blower status because she had complained about the agency’s handling of a controversial audit of government-funded mental health care.

Elizabeth Jeffreys says in a lawsuit against the department that her firing was in retaliation for her complaints to the state Attorney General’s Office and the State Auditor’s Office months before the audit resulted in a shake-up in the state’s mental health system.

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Welcome to the discussion.

2 comments:

  • Jennifer Bizzarro posted at 7:59 pm on Wed, Sep 4, 2013.

    Jennifer_Bizzarro Posts: 481

    Once again, Susana didn't read her job description before accepting the position, nor does she know the limitations of her powers. "G-o-v-e-r-n-o-r" not supreme ruler. Another costly whistle-blower case.

    Keep 'em coming.

     
  • Kenneth Davis posted at 7:44 am on Sun, Sep 1, 2013.

    concerned and confused Posts: 43

    Finally someone from the state stepping forward with the truth about the audit. Looks like the fraud isn't at the provider level, my isn't that a surprise (NOT) there's one discrepancy in the article though, I seem to recall Optum approving billing for services that are valid under Medicaid in other states then demanding huge repayments because the company decided they were not billable after all. Where precisely is THAT money now?
    My memory on the audits is somewhat blurry after the agency I worked for had an average of an audit a month for the year preceding the infamous audit and not having been managerial staff but it seems to me I saw Optum personnel around during some of them. Oddly enough our agency passed the preceding 12 audits with very high marks, percentiles of compliance in the low to mid 90s but then failed an audit with less than 50% compliance a month later? Why isn't anyone on the state side questioning that?
    Finally what is this deal about Optum receiving 25 to 40% of recovered overpayment? Isn't Optum paid around five million a month already from the behavioral health budget to oversee it? Welcome to the wonderful world of Centennial Care where we will have the marvelous opportunity to see this sort of corruption on the part of our government and not just one for profit corporation but five.

     
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