Corporate Compliance

Survey says: Home oxygen equipment reimbursement rules should be changed

Compliance Monitor, September 15, 2004

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Medicare expenditures for home oxygen equipment could be reduced by hundreds of millions yearly if reimbursement rules are changed to establish payment rates similar to Federal Employee Health Benefit (FEHB) plans, according to a Sept. 13 report from the OIG.

Medicare could have saved $499 million if payments had been based on the lowest FEHB rates. The Medicare Modernization Act (MMA) requires reductions in payments for oxygen and oxygen equipment beginning in 2005 based on data provided by OIG.

MMA requires CMS to reduce prices to the median FEHB prices obtained by OIG.

To read the press release, click here.

To read the report, click here.



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