Evidence record

Audit of Medicaid Reimbursements Made to Regency Manor Rehabilitation

Jurisdiction: Ohio
Publishing agency: Ohio Auditor of State
Publication date: February 15, 2008
Source record: Original document linked

Open original reportOriginal source available

Findings

Recommendations

Overall conclusion

The audit identified overpayments totaling $58,540.97 due to billing inaccuracies in room and board, and therapy services. The provider is responsible for repayment, and the Department of Job and Family Services will make final determinations regarding recovery.

Scope

The scope of the audit was limited to Medicaid claims, not involving Medicare co-payments, for services rendered by Regency Manor Rehabilitation from July 1, 2004 through June 30, 2005, including room and board, and therapy services, with reimbursements totaling approximately $12.18 million.

Findings (3)

Each finding has a stable link.

F-120
$58,540.97 in findings plus $2,674.35 in interest accruals are repayable to ODJFS.
F-121
Incorrectly billed room and board services totaling $40,437.50.
F-122
Improperly billed therapy services totaling $18,103.47.

Recommendations (2)

R-143
The Department of Job and Family Services should make any necessary debits or credits during the CPAO process.
Related finding F-120
R-144
Provider should work through ODJFS during the adjudication process on any refuted findings.