If you've ever tried to peel an onion, you know what happens. You uncover the layers and sometimes it makes you want to cry.
It looks like our investigative team has had an onion in its hands and the onion in this case is our state's Medicaid system.
On the one hand, if you believe the independent auditors, we have several Medicaid providers in our region that are not billing properly and are bringing in hundreds of thousands of dollars they are not entitled to.
But as you dig deeper, we've found the auditor stands to make money on how much improper billing it finds. Our team found providers were getting notices that they owed large sums of money, but after digging deeper, only minor infractions were found.
And our reporter, Ann McAdams, spoke with the state auditor's office concerning North Carolina's Medicaid program. They told her an alarming number, more than 70%, of these claims of overbilling are being appealed. That would seem to indicate we have a problem.
Well, my non-medical diagnosis of how this state provides Medicaid services appears to be in need of a little healing itself.
That's my turn. Now it's your turn. To comment on this segment, or anything else, email me at firstname.lastname@example.org.
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