From Georgia Health News: Georgia doesn’t meet federal requirements on consumers’ ability to get a third-party review of their appeals against an insurer’s coverage decisions. That may mean Georgia by 2012 will have to contract with an independent review organization to handle consumer complaints or with the feds to oversee the process.
Gov. Nathan Deal this week vetoed a bill that would have barred the state from paying a contingency fee to a contractor to recover Medicaid overpayments. Doctors’ groups had resisted paying auditors on a contingency basis as “perverse” and “burdensome,” but Deal said the state needs every tool available to identify Medicaid fraud.