(Black Press media file photo)

Manitoba government not collecting overpayments to doctors, auditor general says

WINNIPEG — Manitoba’s auditor general says the provincial government is not retrieving the vast majority of overpayments its makes to doctors.

Tyson Shtykalo examined fees that physicians across the province were paid for patient examinations, surgeries and other services over a five-year period.

He says the health department’s own auditing branch found $1 million in over-billings submitted by doctors, but only about $11,000 was collected — just over one per cent.

Shtykalo says the Manitoba government seems to focus more on educating doctors to avoid future over-billings than retrieving the money.

He says the fee-for-service system is complicated, and some mistakes are to be expected when there are billions of dollars in payments over a five-year period.

But he adds the health department has the authority to withhold future payments in order to collect money it is owed by physicians.

“The (Health Services Insurance Act) provides the department with the authority to offset overpayments against future claims from the physician,” the auditor’s 42-page report reads.

Even when the province goes after an overpayment, reimbursements are negotiated, the report says.

“We were told that the department starts by asking for 80 per cent of the amount owing and the physician suggests a much smaller amount. Eventually an agreement is reached, resulting in a repayment lower than the original overbilled amount.”

The report makes six recommendations, including retrieving all overpayments, improving training of health department auditors, and conducting more reviews of payments to physicians.

The health department says it agrees with the recommendations and many of the issues are addressed in a bill currently before the legislature.

“Legislative amendments contemplated in Bill 10 are fundamentally aligned with the recommendations made by the (auditor general’s office) in its report,” the department says in a written response that accompanies Shtykalo’s report.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

This Dec. 2, 2020 photo provided by Johnson & Johnson shows vials of its Janssen subsidiary’s COVID-19 vaccine in the United States. Health Canada is just “days away” from approving Johnson & Johnson’s COVID-19 vaccine, adding a fourth option to Canada’s efforts to slow the spread of COVID-19. THE CANADIAN PRESS/AP-Johnson & Johnson via AP
Health Canada just days away from decision on Johnson and Johnson vaccine

Johnson and Johnson was authorized in the United States last weekend

Parliament Hill is shown in Ottawa on Wednesday, March 11, 2020. THE CANADIAN PRESS/Sean Kilpatrick
In pre-budget request, cities ask Liberals for $7 billion for rapid-housing program

OTTAWA — Canada’s municipalities are asking the federal government to include $7… Continue reading

Free Reformed Church is seen as people attend service, in Chilliwack, B.C., on Sunday, Feb. 21, 2021. Lawyers for the British Columbia government and the Justice Centre for Constitutional Freedoms are back in B.C. Supreme Court today, squaring off over the legality of COVID-19 rules that prohibit in-person religious services. THE CANADIAN PRESS/Darryl Dyck
Churches’ challenge of public health rules back in B.C. Supreme Court

Three Fraser Valley churches argue health orders interfere with charter right to freedom of religion

Red Deer Rebels forward Jayden Grubbe is one of three Rebels on the NHL Central Scouting players to watch list for the 2021 NHL Draft. (Photo by BYRON HACKETT/Advocate Staff)
Rebels seek consistency ahead of matchup with Hitmen

The Red Deer Rebels had to deal with a pang of regret… Continue reading

Premier Jason Kenney and Minister of Health Tyler Shandro to announce investments to reduce surgery wait times. (File photo by BLACK PRESS)
More than 16K surgeries, procedures delayed in Alberta due to COVID-19

COVID-19 has delayed more than 16,000 surgeries and procedures in Alberta, as… Continue reading

Bryson, six, and Mara, eight, play with puppies from Dogs With Wings Saturday. (Photo by Sean McIntosh/Advocate staff)
WATCH: Dogs With Wings introduces Red Deer program

A program that trains puppies to be certified service, autism, facility and… Continue reading

Dillon Dube scores hat trick for Flames in 7-3 win over Senators

Dillon Dube scores hat trick for Flames in 7-3 win over Senators

Walter Gretzky father of hockey hall-of-famer Wayne Gretzky waves to fans as the Buffalo Sabres play against the Toronto Maple Leafs in Toronto on Tuesday, January 17, 2017. THE CANADIAN PRESS/Nathan Denette
Walter Gretzky, father of the Great One, dies at 82

Walter Gretzky, father of the Great One, dies at 82

Liverpool's manager Jurgen Klopp gives instructions during the English Premier League soccer match between Liverpool and Chelsea at Anfield stadium in Liverpool, England, Thursday, March 4, 2021. (Phil Noble, Pool via AP)
Liverpool slumps to historic 5th straight loss at Anfield

Liverpool slumps to historic 5th straight loss at Anfield

Philadelphia Flyers' Sean Couturier (14) celebrates with teammates after scoring against Pittsburgh Penguins goaltender Tristan Jarry (35) during the first period of an NHL hockey game Thursday, March 4, 2021, in Pittsburgh. (AP Photo/Keith Srakocic)
Flyers rally from early deficit to stun Penguins 4-3

Flyers rally from early deficit to stun Penguins 4-3

Montreal Canadiens goaltender Jake Allen reacts to a goal by Winnipeg Jets' Paul Stastny, left, during first-period NHL hockey action in Montreal on Thursday, March 4, 2021. THE CANADIAN PRESS/Paul Chiasson
Pierre-Luc Dubois scores overtime winner as Winnipeg Jets edge Montreal Canadiens 4-3

Pierre-Luc Dubois scores overtime winner as Winnipeg Jets edge Montreal Canadiens 4-3

Toronto Raptors guard Terence Davis (0) shoots after grabbing a rebound against Boston Celtics center Robert Williams III, left, during the first half of an NBA basketball game, Thursday, March 4, 2021, in Boston. At right is Boston Celtics guard Payton Pritchard. (AP Photo/Charles Krupa)
Tatum scores 27, Celtics outlast depleted Raptors 132-125

Tatum scores 27, Celtics outlast depleted Raptors 132-125

International Ice Hockey Federation President Rene Fasel answers a question during a news conference addressing hockey issues at the 2014 Winter Olympics, Tuesday, Feb. 18, 2014, in Sochi, Russia. The International Ice Hockey Federation has confirmed the postponement of the women's world hockey championship in Nova Scotia to May 6-16. THE CANADIAN PRESS/AP /Mark Humphrey
IIHF postpones women’s world hockey championship in Nova Scotia to May

IIHF postpones women’s world hockey championship in Nova Scotia to May

Quebec Premier François Legault chairs a virtual news conference Thursday, March 4, 2021 in Montreal. The premiers from the left are: John Horgan, B.C.; Jason Kenney, Alberta; Scott Moe, Saskatchewan; Legault, Quebec; Brian Pallister, Manitoba; Doug Ford, Ontario; and Blaine Higgs, New Brunswick. THE CANADIAN PRESS/Ryan Remiorz
Premiers reiterate demand for $28-billion increase in health transfers from Ottawa

Premiers reiterate demand for $28-billion increase in health transfers from Ottawa

Most Read