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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-07-16-05092
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.

Report Type
Audit
Location

FL
United States

Number of Recommendations
3
Questioned Costs
$1,262,887
Additional Details
https://oig.hhs.gov/oas/reports/region7/71605092.asp
External Entity
Mederi Caretenders Home Health

Open Recommendations

This report has 1 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
267296 No $1,262,887 $0

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

Department of Health & Human Services OIG

United States