Auditor: Schools owe Medicaid for overpayments

Posted at 5:19 PM, Mar 17, 2016

MILFORD, Ohio – The Milford Exempted Village School District owes Medicaid more than $22,000 due to overpayments, Auditor of State Dave Yost announced.

The overpayments were the result of poor billing controls, according to Yost’s audit released Thursday.

In a statement, school officials explained that the filing errors had been made by a third party administrator the district hired to recoup the costs of services from Medicaid.

Auditors examined 469 services provided between July of 2011 and June of 2014. They found 42 exceptions that resulted in overpayments, totaling $22,192.72, Yost said.

Those exceptions included 20 services with no documentation, eight in which the recipients were absent or there was no school that day and seven filed with the wrong codes, among other issues, according to the audit.

“Mistakes happen when details go overlooked,” Yost said. “The Milford Exempted Village School District needs a quality review process to make sure its documentation is complete and accurate before it bills the state.”

District officials said they wouldn’t have to pay back the money to Medicaid; the next $22,000 worth of reimbursements will just be withheld in order to return what’s owed.