Medicaid

06
Apr
Medicaid Examination Finds $378,068 in Overpayments to Riverside Local School District

The Riverside Local School District’s (Lake County) former billing company erroneously doubled the amount of Medicaid services it billed to the state, contributing to $378,068 in overpayments to the district.

06
Apr
State Auditors Find $36,676 in Medicaid Overpayments to Provider in Clark County

A Medicaid examination by Auditor of State Dave Yost’s office found a provider in Clark County was overpaid by $36,676 from 2012 through 2014.

21
Feb
Medicaid Examination Finds Nearly $200,000 in Overpayments to Transportation Company

Unqualified drivers provided dozens of transportation services for a Medicaid company based in Scioto County, contributing to nearly $200,000 in overpayments from the state, auditors found.

16
Feb
Northeast Ohio Medicaid Providers Owe More than $1 Million

Examinations of four northeast Ohio Medicaid providers identified more than $1 million in overpayments this week, according to reports released by Auditor of State Dave Yost. 

29
Dec
Medicaid provider lacked documentation to support $157,109 in reimbursements

A Medicaid provider based in Scioto County failed to submit any documentation to support $157,109 in reimbursements she received from the Ohio Department of Medicaid (ODM), according to a report released today by Auditor of State Dave Yost.

29
Nov
Medicaid Transportation Company Owes State $186,555

A Medicaid transportation company based in Lucas County billed the state for hundreds of services that lacked proper supporting documentation, according to a Medicaid examination released today by Auditor of State Dave Yost. 

22
Nov
Integrity Ambulance Service, LLC Owes State $478,094

More than $448,000 in improper Medicaid payments have been made to Integrity Ambulance Service, LLC (Darke County) as a result of transportation services being provided without proper authorization, according to an examination released today by Auditor of State Dave Yost.

10
Nov
Ineligible Drivers, Missing Documentation Cited in Medicaid Examination

Transportation services provided by ineligible drivers and a lack of required documentation contributed to more than $300,000 in Medicaid overpayments to a provider located in Cuyahoga County, according to a report released today by Auditor of State Dave Yost. 

22
Sep
Cuyahoga County Ambulette Company Owes $109,668

A Cuyahoga County ambulette company owes the state $109,668 after a Medicaid examination found incomplete documentation and services provided by unqualified drivers. 

13
Sep
Franklin County Medicaid Provider Overpaid $573,184

A Columbus-based home health agency was overpaid to the tune of $573,000 because it provided services with unqualified aides and billed the state before obtaining proper service authorization.

01
Sep
Former Franklin County Medicaid Provider Overpaid $4.9 Million

A Medicaid examination of Great Nursing Care, Inc. (Franklin County) found the home health agency was overpaid $4.9 million because it provided services with unqualified employees and billed for services before obtaining proper authorization.

The overpayment is the largest amount identified in a Medicaid examination since Auditor Yost took office in 2011.

09
Aug
Mahoning County Medicaid Provider Owes $486,838

A Medicaid examination of Angel Carriers LLC (Mahoning County) found the provider was ineligible to receive reimbursement for 99 percent of services tested from July 2011 through June 2014.

21
Jul
Cincinnati Medicaid Provider Overpaid $688,292

Citywide Incorporated, a Cincinnati Medicaid provider, was overpaid $688,292 for services it provided because it employed unqualified employees, billed for services that were not properly documented, and used the same documentation to bill for multiple claims. 

31
May
Franklin County Medicaid Providers Owe Combined $1.5 Million

Medicaid examinations of two Franklin County providers identified more than $1.5 million in recoverable findings, according to reports released today by Auditor of State Dave Yost. 

24
May
Franklin County Medicaid Provider Over-Reimbursed $708,998

Zimam Holdings, LLC, dba Zimam Home Healthcare (Franklin County) provided services with unqualified employees and billed for services before obtaining authorization from a physician, according to an examination released today by Auditor of State Dave Yost.

24
May
Logan-Hocking Local Schools Owe Ohio Medicaid Nearly $26,000

The Logan-Hocking Local School District (Hocking County) received $25,345 in Medicaid overpayments over a span of three years, according to a Medicaid examination released today by Auditor of State Dave Yost.

12
Apr
Franklin County Medicaid Provider Owes More Than $2.1 Million

Shifo Healthcare Services, LLC (Franklin County) employed aides with no first aid certification, contributing to more than $2.1 million in recoverable findings – the largest amount identified in a Medicaid examination since Auditor of State Dave Yost took office in 2011.

24
Mar
Mahoning County Charter School Owes Ohio Medicaid $15,675

Summit Academy - Youngstown (Mahoning County) billed for services for students who were absent or not even enrolled on the dates of service, according to a Medicaid audit released today by Auditor of State Dave Yost. 

22
Mar
Cuyahoga County Medicaid Provider Owes Ohio Medicaid $432,576

Emmanuel Ventures Limited, LLC (Cuyahoga County) failed to maintain original trip documentation and had no qualified drivers, according to an audit released by Auditor of State Dave Yost.

17
Mar
Milford Exempted Village School District Owes Ohio Medicaid $22,870

Poor billing controls resulted in more than $22,000 in overpayments to the Milford Exempted Village School District (Clermont County), according to a Medicaid audit released today by Auditor of State Dave Yost.

01
Mar
Franklin County Medicaid Provider Owes Ohio Medicaid $139,655

Tashay 1 Home Healthcare, Inc. (Franklin County) billed for services before obtaining proper authorization and provided services with employees who were unqualified, according to an audit released today by Auditor of State Dave Yost.

12
Jan
Wheelchair Express, LLC Owes Ohio Medicaid $163,100

Wheelchair Express, LLC (Franklin County) had no qualified drivers and billed Ohio Medicaid for attendant services that were never provided, according to an audit released today by Auditor of State Dave Yost.

29
Dec
Ambulance Service, Inc. Owes Ohio Medicaid $82,500

Ambulance Service, Inc. (Jefferson County) billed for services that lacked proper documentation and hired two drivers who had no first aid and/or CPR certification prior to rendering services, according to an audit released today by Auditor of State Dave Yost.

01
Dec
Summit County Medicaid Provider Owes Ohio Medicaid $167,200

A to B Transportation, LLC (Summit County) employed a driver with no driver’s license and no first aid or CPR certifications, according to an audit released today by Auditor of State Dave Yost.

20
Oct
Butler County Medicaid Provider Owes Ohio Medicaid $72,100

Universal Transportation Systems, LLC (Butler County), formerly known as Winton Transportation, LLC, employed eight drivers with lapses in first aid and/or CPR certification and billed for transports that were not covered by the Medicaid program or for transports that did not occur, according to an audit released today by Auditor of State Dave Yost.

08
Oct
Pickaway County Medicaid Provider Owes $1.3 Million

AccentCare Home Health of California, Inc. (Pickaway County) employed 15 personal care aides with no first aid certification and billed for services that lacked supporting documentation, according to an audit released today by Auditor of State Dave Yost.

07
Jul
LifeCare Wheelchair Transportation Owes State $126,000

LifeCare Wheelchair Transportation, Inc. (Lorain County) hired a man with a felonious assault conviction -- and 13 employees had lapses in their required first aid and/or CPR certifications that deemed them ineligible for employment -- according to an audit released today by Auditor of State Dave Yost.

14
Apr
Tennessee Medicaid Provider Owes Ohio $25,000

Life Safe Security Corporation, a Tennessee-based emergency response service provider, owes the Ohio Department of Medicaid (ODM) more than $25,000.

29
Jan
Cuyahoga County Medicaid Provider Owes $35,000

An independent Medicaid provider falsely claimed that services were rendered by a doctor, according to an audit released today by Auditor of State Dave Yost. 

16
Sep
Franklin County Medicaid Provider Owes Ohio Medicaid $13,800

A Franklin County Medicaid provider failed to present required documentation for 75 services, according to an audit released today by Auditor of State Dave Yost.

 

04
Sep
Medina County Medicaid Provider Owes Ohio Medicaid $26,000

A Medina County Medicaid provider had no documentation for more than 100 services, according to an audit released today by Auditor of State Dave Yost.

17
Jul
Kentucky Medical Transportation Company Owes Ohio $340,000

Unqualified drivers, rampant errors and a lack of documentation resulted in Medicaid overpayments on 88 percent of Kentucky-based Action Delivery Service’s total reimbursements from 2009-2011.

02
Jul
Meda-Care Transportation Owes State $170,000

A questionable documentation process led Meda-Care Transportation, Inc. (Hamilton County) to improperly bill Ohio Medicaid, contributing to overpayments of more than $160,000.

19
Jun
Lucas County Ambulette Overpaid by $50,000

Yama Transportation (Lucas County) billed Ohio Medicaid for services it could not have provided, according to an audit released today by Auditor of State Dave Yost. 

03
Jun
Cuyahoga County Medicaid Provider Overpaid by $64,000

Caretenders of Cleveland, Inc., a Medicare certified home health agency, was overpaid by more than $64,000, according to an audit released today by Auditor of State Dave Yost.

03
Apr
Montgomery County Nurse Owes Ohio Medicaid $36,000

Documentation provided by Medicaid provider Jennifer Jones indicated that she administrated services to multiple patients in different locations at the same time, according to an audit released today by Auditor of State Dave Yost.

11
Mar
Putnam County Nurse Owes Ohio Medicaid $260,000

Claims of water damage followed by fire damage were made by a Putnam County Medicaid provider who failed to maintain required documentation of service delivery, according to an audit released today by Auditor of State Dave Yost.

06
Feb
Providence Home Health Care Overpaid by Ohio Medicaid

A Cuyahoga County based Medicaid provider was overpaid by more than $7,000, according to a 2008-2010 audit released today by Auditor of State Dave Yost.

05
Dec
Kentucky Nurse Owes Ohio Medicaid $219,000

 No response and no documentation left auditors unable to express an opinion regarding licensed practical nurse Candy Cain’s compliance with Medicaid regulations.

05
Dec
Kentucky Nurse Owes Ohio Medicaid $219,000

 No response and no documentation left auditors unable to express an opinion regarding licensed practical nurse Candy Cain’s compliance with Medicaid regulations.

03
Dec
Former Care Provider Owes Ohio Medicaid $155,000

A lack of supporting documentation led auditors to identify an overpayment of more than $155,000.

26
Nov
Medicaid Provider Owes Ohio Medicaid $181,000

No response and no documentation left auditors unable to express an opinion regarding former Medicaid provider Sharon Rivera’s compliance with Medicaid regulations, according to an audit released today.

13
Nov
Ambulette Company Owes Ohio Medicaid $1 million

State auditors had to go digging into a basement for records to complete the audit of Cuyahoga County-based Greathouse Medical Transportation, LLC.

07
Nov
Ambulette Company Owes Ohio Medicaid $71,000

Franklin County-based ambulette service Caring Hands Transportation of Ohio, LLC owes Ohio Medicaid $71,000.

30
Sep
Audit Releases for Tuesday, October 1

The following audits will be released Tuesday, October 1, 2013. 

09
Jul
Ambulette Company Found to Owe Ohio Medicaid More Than $400k

Medicaid patients were driven by unqualified drivers and records were kept in piles on the floor, according to an audit of Cuyahoga County-based ambulette service provider Kafaru Medical Transportation, LLC released today

28
May
Ambulette Company Found to Owe Medicaid more than $58,000 for Undocumented Service

Franklin County-based ambulette service Angels on Assignment Home Health Agency owes $58,000 to Ohio Medicaid because of inadequate documentation for billed charges.

12
Feb
Toledo Medicaid Psychiatrist Charged $24,000

Doctor Failed to Document Tax-paid Services

Failure to document services cost Toledo-based psychiatrist Bhupinder S. Chahal, M.D. (Lucas County) $24,000 in Ohio Medicaid charge-backs.

04
Oct
Lack of Medical Need Results in 100 percent Rejection of Payments to Medicaid Provider

An accelerated two-month audit of Tuba Rescue Transportation, a Hamilton County-based Medicaid provider, resulted in the denial of more than $306,000 in services billed for transportation of Ohio Medicaid patients.

20
Sep
Medicaid Dollars Go Undocumented

Findings Issued Against Healthcare Provider

Insufficient records and care given that was never ordered by a doctor led to more than $195,000 in findings issued in the Medicaid provider audit of Carol S. Sito, LPN, of Ashtabula County.

26
Jan
Ambulette Company Found to Owe Medicaid more than $570,000 for Undocumented Service

More than two-thirds of all Medicaid charges by a Cleveland-based ambulette service were not doctor-approved, according to an audit released today by Auditor of State Dave Yost.

17
Jan
State Auditor Issues $74,500 in Findings of Undocumented Medicaid Payments

More than $142,000 in Findings Against Provider Since August

An audit of Lincare, Inc., a national Medicaid provider specializing in durable medical equipment, including oxygen equipment, included more than $74,500 in findings.

30
Sep
Audit of Medicaid Provider Triggers More Than $100,000 in Findings for Recovery

“Medicaid providers are responsible not only for their patients, but also for the tax dollars that flow to them,” Auditor Yost said. “Without a paper trail, questions arise.”

08
Sep
State Auditor Issues $45,000 in Medicaid Findings for Recovery

The Ashtabula location of Lincare, Inc., a national supplier of durable medical equipment operating throughout Ohio, was found to owe the Ohio Department of Job and Family Services $45,269.53 in Medicaid reimbursements, including interest

10
Jun
Taylor: Cleveland Medicaid Provider Owes State Nearly $900,000

Company improperly billed Medicaid program

15
Oct
Taylor Audit Shows More Than $150,000 in Improper Billing by Medicaid Provider

LifeStar Ambulance, Inc. repays entire amount to Medicaid system

29
May
Taylor’s Medicaid Reform Suggestions Included in Senate Budget Redraft

Recommendations could save more than $100 million annually when implemented

29
Apr
$122.2 Million in Medicaid Savings Overlooked

State Auditor’s Medicaid Recommendations Continue to be Shunned

18
Dec
Taylor Follows Up on Status of Medicaid Performance Audit Recommendations

Report finds long-term goals, priorities remain undefined

25
Sep
Taylor Hosts Medicaid Reform Discussions

$13 billion State Program Assessed for Efficiency and Effectiveness

22
Aug
Taylor Hosts Medicaid Reform Discussions

$13 billion State Program Assessed for Efficiency and Effectiveness

14
Jun
Taylor Commends Senate for Including Medicaid Provisions in State Budget

Measures Could Save State Millions of Taxpayer Dollars