Submitting OIG:
Report Description:
Medicare made improper payments of $8.7 million to providers for nonemergency ambulance transports to destinations not covered by Medicare, including the identified ground mileage associated with the transports. Medicare covers ambulance transports to only certain destinations, such as hospitals, skilled nursing facilities (SNFs), and beneficiaries' residences. Medicare also covers these transports from a SNF to the nearest supplier of medically necessary services (diagnostic or therapeutic sites) when the beneficiary is a SNF resident and those services are not available at the SNF. The majority of the improperly billed claim lines (59 percent) were for transports to diagnostic or therapeutic sites, other than a physician's office or a hospital, that did not originate from SNFs. As of the publication of this report, the total improper payment amount of $8.7 million included claim lines outside of the 4-year claim-reopening period.
Date Issued:
Wednesday, July 11, 2018
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-17-03018
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
Agency-Wide
Type of Report:
Audit
View Document:
Attachment | Size |
---|---|
91703018.pdf | 1.09 MB |
Additional Details Link: