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Press Release Audit Calls for Improved Documentation Practices at Dracut Adult Day Care Provider

Bump’s office found the agency did not have a physician order justifying services for one MassHealth member.
For immediate release:
11/14/2019
  • Office of the State Auditor

Media Contact for Audit Calls for Improved Documentation Practices at Dracut Adult Day Care Provider

Noah Futterman

An image of a stethoscope and a pen from a doctors office

BostonState Auditor Suzanne M. Bump today released an audit calling for improvements to the documentation of services billed to MassHealth by ActiveLife Adult Day Care, Inc. in Dracut. From a sample of 40 of the 108 MassHealth members who received adult day health services from ActiveLife during the audit period, Bump’s office found the agency did not have a physician order justifying the services it provided to one member. The audit calls on the agency to work with MassHealth to determine how much of the $34,137 in claims should be repaid.

“By properly documenting physician orders for services it provides, ActiveLife Adult Day Care can ensure their clients receive appropriate treatment and MassHealth is not improperly billed,” Bump said of the audit. “I encourage ActiveLife to take steps to improve its documentation for future MassHealth claims.”

MassHealth is administered by the Executive Office of Health and Human Services, through the Division of Medical Assistance. In FY17, MassHealth paid providers more than $15 billion, of which 50 percent was funded by the Commonwealth. Medicaid expenditures represent approximately 39 percent of the state’s total annual budget.

The full report is available here.

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Media Contact for Audit Calls for Improved Documentation Practices at Dracut Adult Day Care Provider

Office of the State Auditor 

The Office of State Auditor Suzanne M. Bump (OSA) conducts audits, investigations, and studies to promote accountability and transparency, improve performance, and make government work better.
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