OIG Releases Work Plan for 2015, Cites Concern with RMTS Cost Allocation for 2nd Year in a Row

For the second year in a row, a major federal auditing body of school-based MAA programs throughout the country has listed the review of random moment time survey (RMTS) systems as a priority. In their 2015 Work Plan, the Office of Inspector General (OIG) states, “Prior OIG reviews of school-based and community-based administrative claims found significant unallowable payments when payments were based on [RMTS].”

California’s school-based administrative claiming program, known as SMAA, will be transitioned from a traditional worker log to random moment starting in January 2015.

Last year, Paradigm conducted a thorough review of prior OIG audits of RMTS-based Medicaid Administrative Claiming and Direct Service Billing programs. You can view our publication here, and view trends by audit finding.