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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Health & Human Services
Incomplete and Inaccurate Licensure Data Allowed Some Suppliers in Round 2 of the Durable Medical Equipment Competitive Bidding Program That Did Not Have Required Licenses
Some contract supplies in Round 2 of the Durable Medical Equipment Competitive Bidding Program had not met all of the competitive bidding licensure requirements. Specifically, of the 146 suppliers covered in our audit, 69 suppliers met licensure requirements. However, 63 suppliers did not meet licensure requirements for some of the competitions for which they received a contract. Additionally, 14 suppliers need to be further researched by CMS and its contractors to determine if they met or had not met licensure requirements.
A former AmeriCorps member submitted fraudulent claims for childcare benefits after ending her service. The United States Attorney’s Office declined criminal prosecution, and CNCS recouped $1,047 from the former member.
Precision Health, Inc., (Precision), (located in Staten Island, New York) complied with certain Medicare Part B requirements for 88 of the 117 claims that we sampled. However, the remaining 29 claims did not comply with certain Medicare requirements. On the basis of our sample results, we estimated that Precision improperly claimed at least $332,000 in Medicare reimbursement for unallowable portable x-ray services
