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AG Releases Heavily Redacted Audit Protocol Document

opensourceway via Flickr

The State Attorney General's Office released parts of  an audit Thursday of 15 behavioral health providers who have been accused of over-billing and Medicaid fraud by the Human Services Department.

The Albuquerque Journal reports 8 of 13 pages of the "Audit Protocols" document were completely redacted while 4 other pages were almost completely redacted.

The documents reveal some details about the types of over-billing the auditors were tasked with examining- including providers billing multiple locations for the same client at the same time, double billing for group and individual counseling sessions, billing for excessive hours, and forged clinician records.

Audit methods and details about individual providers were redacted.

At least 12 of the 15 providers are facing take over by Arizona behavioral health service providers who have contracted with the state. 

Elaine Baumgartel was KUNM's News Director from 2013 to 2019. She was local Morning Edition host from 2007 through 2012 and she regularly hosted the station's live news and public affairs show for some years. Elaine originally came on board at KUNM as a volunteer and student employee in 2003.
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