‘Bounty hunters’ after HME

Tuesday, September 30, 2008

PITTSBURGH – Pennsylvania Medicaid in August unveiled a plan to offer Medicaid auditors financial incentives to recover overpayments, something industry leaders liken to creating “bounty hunters.”

Details are sketchy so far but under incentive-based programs, auditors typically earn a percentage based on what they recover.

Creating a monetary bonus system could encourage overzealous auditing, fears John Shirvinksy, executive director of the Pennsylvania Association of Medical Equipment Suppliers.

Medicare launched a similar program in 2005.

Shirvinsky said he planned to meet with state Medicaid officials in August to discuss the proposal.