10 Medicaid Providers Facing Fraud Charges

10 Medicaid Providers Facing Fraud Charges

(COLUMBUS, Ohio) - Indictments filed this month by the office of Ohio Attorney General Dave Yost accuse 10 Medicaid providers of stealing a combined $578,000 from the government health-care program for the needy. "In the spirit of St. Patrick, we're driving out the snakes who prey on Medicaid," Yost said. "We have zero tolerance for billing shenanigans that cheat taxpayers and exploit the vulnerable." The Medicaid Fraud Control Unit (MFCU), an arm of Yost's office, investigated the cases and secured the indictments in Franklin County Common Pleas Court. One of the defendants alone accounts for nearly $400,000 of the alleged fraud. Investigators identified three of the cases through a new data-mining initiative launched under Yost's direction to streamline fraud detection. The system flags irregular billing patterns, which are then manually vetted through investigations. The system is a tool to generate leads and does not replace the work of investigators. MFCU is working closely with the Ohio Department of Medicaid on the project.

Read more on https://www.ohioattorneygeneral.gov