Submitting OIG:
Report Description:
From July 1, 2016, through December 31, 2018 (audit period), Medicare paid approximately $4 billion for orthotic braces provided to Medicare beneficiaries. Prior OIG audits and evaluations found that some suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) billed for orthotic braces that did not comply with Medicare requirements. During our audit period, the Centers for Medicare & Medicaid Services found that orthotic braces were among the top 20 DMEPOS items with the highest improper payment rates. After analyzing Medicare claim data, we selected for audit Desoto Home Health Care, Inc. (Desoto), an orthotic braces supplier in Wauchula, Florida.
Date Issued:
Thursday, August 6, 2020
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-19-03021
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Desoto Home Health Care, Inc.
Location(s):
Wauchula, FL
United StatesType of Report:
Audit
Questioned Costs:
$2,878,544
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
A-09-19-03021.pdf | 1.23 MB |
Additional Details Link: