OIG: Medicare paid $112 million for improper wheelchairs claims
Compliance Monitor, January 6, 2010
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
A recent OIG review of claims submitted to Medicare for wheelchairs revealed that three out of five claims did not meet documentation requirements and resulted in $112 million in improper payments.
The OIG reviewed 375 randomly selected claims for standard and complex rehabilitation power wheelchairs supplied to Medicare beneficiaries in the first half of 2007.
Based on its findings, OIG recommended that CMS:
- Conduct additional reviews of standard and complex rehabilitation power wheelchair claims
- Recover overpayments and consider further actions against suppliers that do not meet documentation requirements
- Increase education for suppliers and prescribing physicians about documentation requirements
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
The CMS Survey Coordinator's Handbook
There is no reason to struggle with CMS requirements. HCPro has teamed up with former contracted CMS surveyor Jeff Coleman...
-
Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
This book describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach...
-
Proven Methods for Drastically Reducing CAUTIs
Join nurse practitioner Mikel Gray, PhD, PNP, FNP, CUNP CCCN, FAANP, FAAN, and chief of infection prevention and 2012 APIC...
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Q&A: Acute respiratory failure diagnosis does not require intubation
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Oxygen Cylinder Storage Requirements
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Searched