How The Indiana Medicaid Forecasting Error Could Mean an Audit For Your Agency

Have you heard about the recent article regarding Indiana Medicaid? If not, let me give you a quick rundown of what’s going on.

According to the article, Indiana Medicaid went over budget by 1 billion dollars, leaving a shortfall. The State Medicaid leaders have mentioned that they will be looking to reduce this shortfall, if possible, by scrutinizing Medicaid claims more closely. This means more audits could be on the way, folks!

But don’t panic just yet. Here are some steps that your agency can take to avoid being audited and potentially facing recoupments or citations.

1. Avoid leaving visits active at the end of the day

Make sure to avoid leaving visits active at the end of the day when everyone has gone home. Ensure your caregivers have clocked out! This mistake might seem harmless, but it can cause major problems down the line. So, be sure to double-check that all visits are completed and properly marked as such.

2. Reduce your manual check-in rates

High rates of manual check-ins can raise red flags and increase the likelihood of being audited. Try having technology training to help your caregivers clock in themselves, and follow up with a text message to remind those who have not clocked in to avoid a manual check-in. Reducing your manual check-in rate will help you during an audit.

3. Seeing “Verified” is not always a good thing

Lastly, be vigilant and always keep an eye out for anything that says “verified visit.” These are visits that were paid out by Medicaid but might still be up for recoupment. So, it’s crucial to ensure that all verified visits are compliant and meet all regulatory requirements and guidelines.

Our GEOH billing and admin team is always ready and available to help you and your agency stay in compliance. Book a time with us to chat about any concerns or questions you may have.

In conclusion, while nobody likes the thought of being audited, taking the above precautions can help your agency avoid any potential headaches or recoupments.