GOV’T AUDIT INSIDER: Medicaid payments in excess of Medicare-allowable amounts
Healthcare Auditing Weekly, August 17, 2004
According to an OIG audit report, Medicaid paid providers more than Medicare would have for oxygen-related durable medical equipment (DME) and supplies in six of nine OIG audited states. State plans for 12 states and the District of Columbia require that Medicaid rates for DME and supplies not exceed the Medicare fee schedules. The schedules are updated annually and organized by Healthcare Common Procedure Coding System (HCPCS). According to the audit report, Medicaid payments were approximately $12.7 million in excess of Medicare amounts in six of the states from the period of January 1, 1998, through December 31, 2000. The OIG recommends that CMS instruct those state agencies to apply Medicaid payment limits correctly and in a timely manner. During the audit, the OIG did the following
Click here to read the audit report, "Audit of Medicaid Payments for Oxygen-Related Durable Medical Equipment and Supplies" (A-05-03-00018), released July 16.
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