Medicaid audits are on the rise—and even small errors can have big consequences. From incomplete EVV logs to unverified claims, many agencies are getting caught by preventable issues that lead to denials, penalties, or lost funding.
By understanding the common mistakes flagged in recent Medicaid audits, your agency can take proactive steps to avoid costly issues.
One of the top reasons Medicaid claims are denied is missing or incorrect Electronic Visit Verification (EVV) data. Common EVV issues include:
Agencies that integrate EVV with their EMR system eliminate these risks by ensuring real-time tracking, automated visit verification, and accurate documentation.
Auditors frequently flag agencies for incomplete or inconsistent documentation. This includes:
A fully integrated EMR system helps ensure every patient record is accurate, complete, and audit-ready at all times.
Many agencies unknowingly make billing mistakes that lead to payment delays or denials, such as:
With an integrated billing system that syncs directly with EVV and EMR data, agencies can prevent claim errors before submission, reducing audit risks and speeding up payments.
Another audit red flag is caregivers providing services outside of approved hours or performing tasks they aren’t authorized for. Medicaid programs require:
A real-time scheduling system ensures visits stay within approved parameters, keeping agencies compliant.
Cubhub eliminates the risks of Medicaid audits by integrating EVV, EMR, and billing into one seamless system. With built-in compliance tracking, real-time documentation, and automated claim validation, agencies using Cubhub can:
Don’t wait for an audit to expose weaknesses in your system. Schedule a demo today to see how Cubhub helps agencies stay compliant and financially secure.