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Comptroller finds TennCare over payments in medical clinic audit

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The Tennessee Comptroller of the Treasury released their TennCare Examination report on Crockett Medical Clinic.

The Rural Health Clinic cost report from January 1, 2015 through December 31, 2015, and TennCare visits and payments between July 11, 2014 and June 30, 2017 have been reviewed with many questionable items founds.

Highlights from the audit include findings recommending monetary refunds on nonallowable expenses included on the cost report. Crockett Medical Clinic included $827,250.79 of nonallowable expenses on the cost report for the year ending December 31, 2015. The nonallowable expenses consist of costs not related to Crockett Medical Clinic, excess contracted consulting fees, excess owner’s compensation, parking lot expense, personal expense, prior-year expense, marketing expense, unsupported expenses, donations and non-business-related expense. The adjustments to expenses and to total visits have resulted in reducing the Prospective Payment System (PPS) rate, which has led to an overpayment of $923,719.19 from the Division of TennCare for the period of July 11, 2014 through June 30, 2017.

The audit also states that Crockett Medical clinic failed to accurately report total visits on the cost report. The clinic under-reported 683 visits on the cost report for the year ending December 31, 2015. The adjustment to total visits is incorporated in the PPS rate change in the nonallowable expense finding.

Click here for the full 30 page audit report from the Tennessee Comptroller of the Treasury including additional notations from Crockett Medical Clinic.

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