OIG finds inappropriate payments to prosthetic provider

Thursday, February 19, 2015

WASHINGTON – A report from the Office of Inspector General found that San Antonio, Texas-based Prosthetic Science has received $25,125 in inappropriate Medicare payments. The OIG reviewed 166 claims totaling $1,785,355 for the period of January 1, 2012, through June 30, 2013. According to the report, the claims are considered inappropriate for the following reasons: one claim was not supported by any documentation, two claims were not supported by a physician order, and seven HCPCS codes were not included on detailed written orders. Prosthetic Science agreed with the findings, which it attributed to human error.