Department of Health & Human Services OIG
For calendar years 2014 and 2015, Lincare Pharmacy Services Inc. (Lincare), which is located in Clearwater, Florida, generally complied with Medicare requirements when billing for inhalation drugs. Of the 100 claim lines in our sample, 97 complied with the requirements. However, the remaining three sampled claim lines did not comply with Medicare requirements. Specifically, the beneficiaries’ medical records did not support that the beneficiaries had conditions for which the use of inhalation drugs was considered reasonable and necessary. As a result, Lincare received $48 in unallowable Medicare payments.
Thursday, December 14, 2017
Agency Reviewed / Investigated:
Department of Health & Human Services
Submitting OIG-Specific Report Number:
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Lincare Pharmacy Services Inc.
FL United States
Type of Report:
Funds for Better Use:
Number of Recommendations: