GAO Report Identifies Inefficiencies in National Medicaid Audit Program

A report from the Government Accountability Office (GAO) released this month examines the effectiveness of the National Medicaid Audit Program (NMAP), a federal initiative that seeks to identify and reduce improper Medicaid payments.1 The report concludes that the majority of audits conducted under the NMAP have relied upon an incomplete data set, resulting in significant inefficiencies compared to other audit methodologies. According to the report, the NMAP has spent $102 million thus far, yet has identified only $20 million in overpayments, reflecting a high rate of “false positives” in the audit target pool. The report also describes omissions in agency reports to Congress and planned modifications to the audit program, including a shift toward a more collaborative approach with state Medicaid integrity programs.

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