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Lucas County Medicaid Provider Owes Ohio $64,000
Columbus – More than 2,200 documentation errors led to $64,000 in Medicaid findings, according to an examination of Best Choice Medical Transportation, LLC released today by Auditor of State Dave Yost.
“Everybody makes mistakes,” Auditor Yost said. “But not everybody makes mistakes on almost everything.”
The examination reviewed 2,143 services provided by Best Choice Medical Transportation, LLC during the period of November 15, 2012 through December 31, 2013. Auditors identified multiple errors in some services tested for a total of 2,237 errors, which resulted in overpayments on 79 percent of services tested.
Ohio law requires a Certificate of Medical Necessity (CMN) for ambulette services to be covered by Medicaid. The provider failed to produce a valid CMN for 442 transports.
Additional errors contributing to overpayments include:
- 678 instances where attendants billed for services, but the services were not provided;
- 67 instances where recipients were not transported to a Medicaid covered service or trip documentation could not determine whether the transport was to a Medicaid covered service;
- 46 transports with unsupported mileage reimbursements; and
- 14 transports with no service documentation.
With interest in the amount of $2,238.59, Best Choice Medical Transportation, LLC owes the Ohio Department of Medicaid a total of $64,315.31.
A full copy of this report may be accessed online.
The Auditor of State’s office, one of five independently elected statewide offices in Ohio, is responsible for auditing more than 5,800 state and local government agencies. Under the direction of Auditor Dave Yost, the office also provides financial services to local governments, investigates and prevents fraud in public agencies and promotes transparency in government.