For Immediate Release:                                                      

March 23, 2021                                                                      

Medicaid Compliance Examination Finds Over $30,000 in Improper Payments to Acupuncture Provider  

Columbus – Auditor of State Keith Faber’s Office released the Medicaid Compliance Examination of Daniel P. Miller which identified over $30,000 in improper Medicaid reimbursements.

Daniel P. Miller is a licensed acupuncturist and owner of Wholistic Acupuncture LLC located in Worthington, Ohio.

For the period of January 1, 2018 to December 31, 2019, auditors identified improper Medicaid payments totaling $30,051. The improper payments are a result of documentation and Medicaid coverage errors.

Auditors looked at 24 evaluation and management services and found no documentation to support 5 of the payments. Additionally, the documentation did not support an allowable service for the remaining 19 payments. These 24 errors resulted in $1,297.89 in improper payments.

In a sample of 60 acupuncture services, there was no documentation to support 25 of these payments and the provider failed to obtain the required confirmation of a diagnostic examination by a physician or chiropractor for all 60 of the payments. Due to the 100 percent error and confirmation by the provider that all of the remaining paid acupuncture services during the examination period were similarly non-compliant with the Medicaid requirements, the full payment of $28,753.25 for all acupuncture services was determined improper.

With interest, a total of $31,276.65 is owed to the Ohio Department of Medicaid.

A full copy of this report is available online.

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The Auditor of State’s office, one of five independently elected statewide offices in Ohio is responsible for auditing more than 6,000 state and local government agencies. Under the direction of Auditor Keith Faber, the office also provides financial services to local governments, investigates and prevents fraud in public agencies, and promotes transparency in government.