Ohio Gov. Mike DeWine announced new initiatives aimed at fraud prevention on May 13, including immediately ending payments to providers whose billing practices raised “red flags” for possible fraud.
The action comes as the state faces increasing scrutiny over its Medicaid expenditures, although the governor said some of the initiatives have been in the works for some time.
He noted that the state began using a new system in January to identify “billing data anomalies.”
Further, the Ohio Department of Medicaid will move toward a rule change requiring GPS-verified locations, ensuring that home-health providers are present at the specific location where they are supposed to be helping someone. The state began phasing in this “Electronic Visit Verification” more than a year ago, the release said….