Submitting OIG:
Report Description:
Most Medicare claims that durable medical equipment suppliers submitted for replacement positive airway pressure (PAP) device supplies did not comply with Medicare requirements. Of the 110 claims in our sample that Medicare paid in 2014 and 2015, 24 complied with Medicare requirements; however, 86 claims with payments totaling $13,414 did not. On the basis of our sample results, we estimated that Medicare made overpayments of almost $631.3 million for replacement PAP device supply claims that did not meet Medicare requirements.
Date Issued:
Thursday, June 7, 2018
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-17-04056
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
Agency-Wide
Type of Report:
Audit
Questioned Costs:
$13,414
Funds for Better Use:
$631,272,181
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
41704056.pdf | 1.95 MB |
Additional Details Link: