Stay Informed
of New Reports
Twitter
Where To Report Waste
Fraud, Abuse, Or Retaliation
Where To Report Waste Fraud, Abuse, Or Retaliation

Mederi Caretenders Home Health Billed for Home Health Services That Did Not Comply With Medicare Billing Requirements

Submitting OIG: 
Department of Health & Human Services OIG
Report Description: 
Under the Medicare home health prospective payment system (PPS), the Centers for Medicare & Medicaid Services pays home health agencies (HHAs) a standardized payment for each 60-day episode of care that a beneficiary receives. The PPS payment covers intermittent skilled nursing and home health aide visits, therapy (physical, occupational, and speech-language pathology), medical social services, and medical supplies.
Date Issued: 
Tuesday, August 20, 2019
Agency Reviewed / Investigated: 
Department of Health & Human Services
Submitting OIG-Specific Report Number: 
A-07-16-05092
Component, if applicable: 
Centers for Medicare & Medicaid Services
External entity, if applicable: 
Mederi Caretenders Home Health
Location(s): 
FL
United States
Type of Report: 
Audit
Questioned Costs: 
$1,262,887
Number of Recommendations: 
3
View Document: 
AttachmentSize
PDF icon 71605092.pdf3.55 MB
Additional Details Link: 
https://oig.hhs.gov/oas/reports/region7/71605092.asp

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
267296 Open No
We recommend that the Agency refund to the Medicare program the portion of the $1,262,887 in estimated overpayments received during CYs 2014 and 2015 for claims incorrectly billed that are within the reopening and recovery periods
Displaying 1 of 1 Recommendations