Medicare beneficiaries blast audits in new video

‘Twenty-eights years in a wheelchair and I’ve never had an issue until now,” says one beneficiary
Tuesday, January 21, 2014

WATERLOO, Iowa – In a new video, People for Quality Care (PFQC), the advocacy arm of The VGM Group, zooms in on CMS’s crippling audit program.

“CMS payment denials occur due to paperwork errors and ignore the medical necessity of equipment for individuals with spinal cord injuries and other disabilities,” the PFQC states in a release. “Denials cause unnecessary burden on patients, caregivers and family members.”

The eight-minute video features patients of Mobility Medical, a Dallas-based provider that is currently appealing denials for up to 80 patients.

One of those patients: Phillip. His physician forgot to include a sentence in her notes indicating that she had referred him to a seating specialist in her clinic.

“Twenty-eight years in a wheelchair and I’ve never had an issue until now,” Phillip says in the video.

Mobility Medical operates at a loss when Medicare delays payments, because it has often already provided the needed equipment and services.

“(While Mobility Medical) has filled in the gaps that Medicare policies have left…many Medicare patients across the country are not so lucky,” the PFQC states.