Ohio Health Plans Procedures For Detecting Fraud Waste And Abuse

Download or read book Ohio Health Plan's Procedures for Detecting Fraud, Waste and Abuse written by and published by . This book was released on 2006 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Ohio Department of Job and Family Services (ODJFS), as the Single State Medicaid Agency, has numerous processes to prevent and detect fraud, waste, and abuse in the Medicaid program. Various areas of ODJFS, the Ohio Attorney General's Office (AG), the Ohio Auditor of State (AOS), the United States Department of Justice, and the Department of Health and Human Services (HHS) each contribute to the oversight, detection and prevention of fraud, waste, and abuse for the ODJFS's, Office of Health Plans (OHP). ODJFS has dual overall purposes for program integrity of Medicaid: pre-payment education; and prevention of provider fraud waste, and abuse.