Submitting OIG:
Report Description:
Federal regulations require a payment reduction in the outpatient prospective payment system for the replacement of an implanted device if (1) the device is replaced without cost to the provider or the beneficiary, (2) the provider receives full credit for the cost of the replaced device, or (3) the provider receives partial credit equal to or greater than 50 percent of the cost of the replacement device (42 CFR § 419.45(a)).
Date Issued:
Tuesday, November 22, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-01-15-00508
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
Agency-Wide
Type of Report:
Audit
Questioned Costs:
$2,132,214
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
| Attachment | Size |
|---|---|
 11500508.pdf | 1.4 MB |
Additional Details Link: