Ohio Medicaid examinations find over $10.7 million in overpayments

The investigations found that over $10.7 million was improperly billed in 2017

Healthcare, Medical Generic

COLUMBUS, Ohio (WKBN) – The Ohio State Auditor’s Office has been conducting compliance examinations to verify payments to dozens of healthcare providers are justified.

The investigations found that over $10.7 million was improperly billed in 2017.

In total since taking office in 2011, State Auditor David Yost has identified over $35 million in improper payments, with the most recent infractions being in the home healthcare sector.

In recent years, auditors have focused on home health care billings, reviewing whether staff that performed services on Ohio’s most needy was properly trained and certified and if the services were properly authorized and whether there was supporting documentation to justify payments.

On Thursday, Yost announced a Franklin County Medicaid provider owes the state $378,642 for three years’ worth of payments because she failed to provide any documentation to support nearly 2,500 services billed to the state. A week earlier (Dec. 21), Auditor Yost announced an Ashtabula County Medicaid provider owes more than $119,000 because she had no documentation to support her billings, claiming she threw them all away after a death in the family.

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