Ohio nursing home ordered to repay Medicaid overpayments

Share this article:

A court of appeals in Ohio upheld a lower trial court's decision that nursing home provider AmCare Inc. must repay $452,312 in Medicaid provider overpayments it received during fiscal years 1994 and 1995.

The Tenth Appellate District Court of Appeals ruled against the nursing home provider. AmCare argued that the state's demand for repayment was void because audit findings detailing the overpayments were not issued within a three-year time period from the date AmCare filed its first cost report, as required by state law.

The court said the statute does not express intent to eliminate the state's power to seek Medicaid overpayments due to an "untimely release" of the audit report, and therefore agreed that the repayment order should be upheld.

AmCare owned and operated Miller Memorial Nursing Center, a 200-bed nursing home.
For more information on the ruling visit http://www.sconet.state.oh.us/rod/newpdf/10/2005/2005-ohio-2714.pdf

Share this article:

More in News

$1.3 million settlement marks second recent deal over SNF supervision of therapy providers

$1.3 million settlement marks second recent deal over ...

A Maryland nursing home company has agreed to a $1.3 million settlement over charges that it did not prevent overbilling by its contracted therapy provider, federal authorities announced Monday. This ...

MedPAC chairman: Three-day stay requirement is 'archaic'

The government should pay for skilled nursing care without a preliminary three-day hospital stay, and the recovery auditor program should be reformed, Medicare Payment Advisory Commission members said at a meeting Friday.

Nursing homes can't carve out billing, collections in arbitration agreements, AR Supreme ...

A nursing home arbitration agreement largely reserved the provider's rights to sue residents while limiting residents' legal options, causing it to fail a "mutual obligation" requirement, the Arkansas Supreme Court recently ruled .