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Other Matters: The CPCS Could Make its Process for Reviewing Billings More Effective

Audit encourages the CPCS to use a more targeted and effective approach when reviewing billings. This will provide the Commonwealth with proper supporting documentation to make accurate indigent claims.

Table of Contents

Overview

Each fiscal year, the Committee for Public Counsel Services (CPCS) receives and compiles data for more than 220,000 cases, generating more than 1.9 million transactions submitted by more than 3,000 private attorneys who are assigned cases through Notices of Assignment of Counsel (NACs). Section 12 of Chapter 211D of the Massachusetts General Laws established an Audit and Oversight (A&O) Department within CPCS to monitor the submitted bills. Currently, CPCS has a staff of four attorneys performing audits on submitted bills associated with NACs. The audit process is initiated by CPCS’s computer system, which selects every 650th submitted bill for review. A&O reviews the selected bills and supporting documentation and, if necessary, makes modifications to the amounts billed by the attorneys.

Although this CPCS audit process is an important control to ensure that submitted bills are accurate and proper, the Office of the State Auditor (OSA) believes that rather than selecting bills for review based on random selection, CPCS should consider developing a more effective, targeted risk-based approach such as analyzing its billing data to identify outliers among the billings in the group.

For example, we analyzed attorneys’ bills using CPCS data and identified all the outliers, i.e., NACs whose hours billed exceeded a statistically determined expected number of hours per NAC for each billing type, as illustrated in the table below. We calculated the expected number of hours per NAC using a statistically valid method.

 

Outliers and Amounts Billed

Case Type

Fiscal Year

Total Number of NACs

Norm for All NAC Hours Billed

Number of NACs Above the Norm

Approximate Dollar Amount of Outliers Billed

District Court

2015

148,061

22.9

9,223

$ 17,008,890

District Court

2016

146,631

23.2

9,207

   17,629,990

Superior Court

2015

9,606

76.0

596

     4,775,012

Superior Court

2016

9,940

75.8

551

     4,676,688

Juvenile Court

2015

10,001

24.1

641

     1,306,255

Juvenile Court

2016

10,432

25.1

660

     1,449,070

Total

 

334,671

 

20,878

$ 46,845,905

Although this information is not shown in the table above, for district, superior, and juvenile courts combined, the percentage of NACs determined to be outliers was 6.24% for both fiscal year 2015 and fiscal year 2016. In fiscal year 2015, the percentage of outliers with at least three times the norm of billable hours was 5.17%. In fiscal year 2016, the percentage was 5.90%.

OSA believes that by using a risk-based approach like this, CPCS will be able to identify NACs that pose a higher risk and focus its limited resources on reviewing those.

 

Fiscal Year 2015 Outlier and Non-Outlier Cases and Amounts Paid 

Court Type

Percentage of
Non-Outlier NACs

Percentage of Total Paid That Was for Non-Outlier NACs

Percentage of Outlier NACs

Percentage of Total Paid That Was for Outlier NACs

District

93.77%

72.23%

6.23%

27.77%

Superior

93.80%

62.40%

6.20%

37.60%

Juvenile

93.59%

69.11%

6.41%

30.89%

Fiscal Year 2016 Outlier and Non-Outlier Cases and Amounts Paid

Court Type

Percentage of
Non-Outlier NACs

Percentage of Total Paid That Was for Non-Outlier NACs

Percentage of Outlier NACs

Percentage of Total Paid That Was for Outlier NACs

District

93.72%

71.51%

6.28%

28.49%

Superior

94.46%

63.51%

5.54%

36.49%

Juvenile

93.67%

68.24%

6.33%

31.76%

As noted in the tables above, a relatively small percentage of the total billings was associated with more than a quarter of the money paid in fiscal years 2015 and 2016.

Date published: February 28, 2018

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