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COLUMBUS, Ohio – Ohio Medicaid owes $38 actor to the federal government for payments it fabricated on account of patients who had died, according to a new federal audit.
It’s a affirmation that Ohio Medicaid denies. The accompaniment is ambrosial the audit, adage the federal government is amiss about it advantageous for asleep beneficiaries’ care.
“No provider was paid for casework for a asleep person, and about a year ago, as allotment of advancing assignment to improve the system, safeguards went online that anticipate it from happening,” said Tom Betti, an Ohio Medicaid spokesman. “We can assure Ohio taxpayers that there were no casework paid for individuals afterwards their death. Accordingly, we disagree with the Inspector General and are appealing.”
The analysis was performed by the Office of the Inspector General, beneath the U.S. Department of Health and Human Services. Most of the 3 actor Ohio Medicaid recipients accept healthcare from one of six managed-care allowance companies that accept affairs with the accompaniment to accept account anchored payments for their care.
What is Medicaid? Your questions answered
The analysis was performed, the analysis said, because antecedent insepctions begin states were advantageous managed-care organizations on account of asleep beneficiaries.
Auditors called at accidental 100 payments from July 1, 2014 to June 30, 2016 of bodies who had died. Auditors articular asleep Medicaid beneficiaries through the Social Security Afterlife Master File. Auditors advised payments fabricated at atomic a ages afterwards their deaths.
“We accepted that all beneficiaries associated with the 100 capitation payments in our stratified accidental sample were deceased,” the analysis said. “The Accompaniment bureau appropriately recovered 37 of these sampled capitation payments fabricated on account of asleep beneficiaries. However, the Accompaniment bureau did not balance the actual 63 capitation payments accretion $74,495.”
When the sample is extrapolated out to the blow of the Medicaid population, auditors appraisal the accompaniment paid at atomic $51.3 actor for the affliction of asleep Ohioans.
But the federal allotment of that was $38 million.
Ohio Department of Medicaid Director Barbara Sears wrote a letter in acknowledgment to allegation in the audit.
“The Department (of Medicaid’s) affair is the asleep associates were not appropriately afar from accompaniment abstracts provided…” she wrote.
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