Jasper
Jasper, OH · Health
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Columbus Says No City Money Funds Ghana Nursing Program Moreno Attacked
COLUMBUS — No Columbus city money is being used for a new program building a pipeline for nurses from Ghana to come to Columbus, according to a fact check published Oct. 29 by The Columbus Dispatch, which found that a claim by U.S. Sen. Bernie Moreno conflated two separate efforts. Moreno, a Republican, attacked Columbus […]
delawaresource.com
Delaware seeks new EMS billing vendor as county ends decades-long funding arrangement
DELAWARE — The city of Delaware is preparing to hire a new emergency medical services (EMS) billing vendor after Delaware County announced it would end a decades-long reimbursement arrangement at the end of this year. Delaware City Council recently heard an update from Fire Chief Tim Pyle, Assistant Fire...
highlandcountypress.com
Hillsboro woman sentenced in Medicaid fraud case
A Hillsboro woman was sentenced this month on a misdemeanor charge of Medicaid fraud and paid over $4,000 in restitution following an investigation announced by the Ohio Attorney General’s Office in August. As previously reported, indictments filed in August by the office of Ohio Attorney General Andy Wilson accused...
Times Recorder
Genesis reaches deals with Aetna, CareSource after dispute over denied claims
ZANESVILLE – Genesis HealthCare System has reached new agreements with two health insurance providers, CareSource and Aetna. They come nearly two months after Genesis announced that 9,000 denied and disputed claims from four providers and millions of dollars in losses had weighed on future contracts. CareSource Medicaid, Next Generation MyCare Ohio Plan and Aetna Medicare Advantage members will now maintain in-network access to Genesis through 2027 under the new deals, according to a release from Genesis HealthCare System. Genesis previously said it would end contracts for Medicare Advantage plans under Aetna, UnitedHealthcare and Medical Mutual of Ohio and Medicare Advantage and Medicaid plans under CareSource on Jan. 1, unless new agreements were reached. Genesis anticipates releasing another announcement on the other insurance plans in the near future. Existing coverage for the remaining plans will remain unaffected through Dec. 31. If no agreements are reached, then those insurance plans would become out-of-network for nonemergency care at Genesis on Jan. 1. Emergency care will remain covered at in-network rates regardless of contract status, Genesis previously said. More: Genesis says 9,000 denied claims could mean dropping four insurers' contracts It was necessary to address the rising coverage denials and payment disputes, Genesis announced
1808Delaware
Lewis Center Doctor Pleads Guilty In $1.6M Medicaid Scheme
A Columbus doctor and his clinic’s office manager have pleaded guilty in connection with a scheme that defrauded Medicaid of more than $1.6 million, Ohio Attorney General Andy Wilson announced today. Dr. Patrick Muffley, 56, of Lewis Center, pleaded guilty on Oct. 19 to felony theft and Medicaid fraud...
The Center Square
Ohio auto parts maker to pay $3M in COVID fines
(The Center Square) – An Ohio auto parts manufacturer has agreed to pay more than $3 million in fines and restitution after admitting it lied to received loans and loan forgiveness under the federal government’s COVD-19 era Paycheck Protection Program. The company, Murotech Ohio Corp., makes auto parts primarily in St. Marys. It is a subsidiary of a Japanese company, Muro Corp., prosecutors said. Under the settlement, the company has admitted that it “knowingly provided false information to obtain Paycheck Protection Program loans and loan forgiveness,” prosecutors said. Murotech agreed to pay more than $1 million in restitution. “Murotech Ohio’s first application submitted in May 2020 certified that the company had fewer than 500 employees, but in fact, it exceeded that amount when counting affiliates,” prosecutors said. “A second application submitted in January of 2021 certified that it employed fewer than 300 employees, but in truth, the company employed far more when including affiliates. Murotech Ohio then applied to have both federal loans forgiven and certified on its submitted applications that the number of employees was below program limit requirements. “ Authorities learned about the scheme from whistleblowers, according to a news release. The whistleblowers will each receive $151,980.75 under