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