Submitting OIG:
Report Description:
Total Sleep Management, Inc. (Total Sleep), an Independent Diagnostic Testing Facility, based in Orlando, Florida, billed Medicare claims for polysomnography services that did not always comply with Medicare billing requirements. Of the 100 randomly selected beneficiaries, Total Sleep billed Medicare claims for polysomnography services that met Medicare billing requirements for 21 beneficiaries with 38 corresponding lines of service. However, Total Sleep billed Medicare claims for the remaining 79 beneficiaries with 111 corresponding lines of service that did not meet Medicare requirements, resulting in overpayments totaling $51,000.
Date Issued:
Wednesday, October 14, 2015
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-14-07051
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Total Sleep Management, Inc.
Location(s):
FL
United StatesType of Report:
Audit
Questioned Costs:
$1,030,077
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
41407051.pdf | 368.82 KB |
Additional Details Link: