Quantcast

BLACKED-OUT AUDIT King hands over mental health audit, but details blacked out

Print
Font Size:
Default font size
Larger font size

Posted: Friday, October 18, 2013 9:30 pm | Updated: 7:46 pm, Sat Oct 19, 2013.

Attorney General Gary King, right before the end of the business day Friday, released part of an audit by a Boston company that had led to a shakeup in the state mental health system. The report confirmed that a criminal investigation into Medicaid billing fraud is ongoing.

But virtually all specific information about the 15 New Mexico providers that were audited in search of possible financial fraud was blacked out in the audit pages released Friday. In a state court filing, King said releasing the rest of the information could jeopardize the investigation.

Subscription Required

An online service is needed to view this article in its entirety. You need an online service to view this article in its entirety.

Have an online subscription?

Login Now

Need an online subscription?

Subscribe

Login

You must login to view the full content on this page.

Thank you for reading 5 free articles on our site. You can come back at the end of your 30-day period for another 5 free articles, or you can get complete access to the online edition for $2.49 a week. If you need help, please contact our office at 505-986-3010 You need an online service to view this article in its entirety.

Have an online subscription?

Login Now

Need an online subscription?

Subscribe

Login

Rules of Conduct

  • 1 No Alias Commenters must use their real names.
  • 2 Keep it Clean. Please avoid obscene, vulgar, lewd, racist or sexually-oriented language.
  • 3 Don't Threaten or Abuse. Threats of harming another person will not be tolerated. and please turn off caps lock.
  • 4 Be Proactive. Use the 'Report' link on each comment to let us know of abusive posts.

Welcome to the discussion.

1 comment:

  • Kenneth Davis posted at 3:05 pm on Sat, Oct 19, 2013.

    concerned and confused Posts: 43

    Odd that everything which would allow the accused providers to defend themselves was redacted. In reference to the excessive billing on psychosocial rehabilitation, The state requirements for an integrated PSR program are a minimum of 25 hours per week and a maximum of as many hours each individual needs as quite often due to lack of facilities PSR programs are used in this state to keep consumers are on the borderline of hospitalization out of them. In 2010 OptumHealth tried to reduce the billable hours to below the state minimum and set them at 20 hours a week. They corrected this to setting the maximum at 25 hours per week. 25 hours per week were not enough for some consumers who are no longer with us because they committed suicide shortly thereafter. Prior to 2010 consumers received the amount of hours needed so of course in reference to a 25 hour maximum rather than minimum in 2009 there would have been excessive billing.
    Billing from two locations? in the rural areas telemedicine is often used for medication management so if a person is in to see their therapist then has a telemedicine conference for medication management there would be billing from two locations. These people aren't even familiar enough with the system to know how they required it to be set up and are accusing people of fraud based on them doing what they were told was acceptable. In the meantime consumers still do not have services.

     

Follow The Santa Fe New Mexican

Today’s New Mexican, July 25, 2014

To view a replica of today's printed edition of The Santa Fe New Mexican, you must be a subscriber. Get complete access to the online edition, including the print replica, at our low rate of $2.49 a week. That's about the price of a cup of coffee. Or get online and home delivery of our print edition for $3.24. Click here for details.  

Advertisement