A Scary New Trend: Six-Year Lookback Audits — HME Business

Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements

California Home Medical Device Retail Exemptee Online Training Certification Course — accepted by the California Department of Public Health (Food and Drug Branch)

The full article is a must read: A SCARY NEW TREND: SIX-YEAR LOOKBACK AUDITS — Understanding another ‘new normal’ for HMEs from HHS OIG. — HME Business

“The Office of Inspector General (OIG) regularly performs audits and reviews as part of its normal functions. In June 2018, it released a scathing report entitled, “Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements.”” …

“In layman’s terms, suppliers either have to review every claim they have submitted for PAP supplies for the previous six years, or they must identify the universe of claims by taking a statistically valid random sample and extrapolating the results of the audit once the sample has been reviewed. They are asking suppliers to do something that requires the high-level skills and knowledge of an expert statistician.”

#HMDRexemptee #HMDR #HME #DME #CPAP

California Home Medical Device Retail Exemptee Training Certification Course — accepted by the CDPH — Food & Drug Branch
California Home Medical Device Retail Exemptee Training Certification Course — accepted by the CDPH — Food & Drug Branch

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Originally published at https://dreusa.blogspot.com/2019/06/a-scary-new-trend-six-year-lookback.html

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