Tag: Inhalation drugs

WASHINGTON - Not all suppliers comply with Medicare requirements when billing for inhalation drugs, according to the Office of Inspector General. For 81 of the 120 sampled claim lines, suppliers complied with requirements; for the remaining 39 claim lines, 22 suppliers did not comply with requirements. The OIG says the documentation from these suppliers contained incomplete, invalid or missing detailed written orders; incomplete proof of delivery; incomplete refill requests; and no medical records....

PORT ST. LUCIE, Fla. - Liberty Medical mostly complied with Medicare requirements for inhalation drugs, according to a new report from the Office of Inspector General. The OIG sampled 100 claims and found 94 in compliance. Of the remaining six claims, the agency says Liberty did not provide medical records for four, and lacked proof of delivery for two, resulting in an overpayment of $2,408. As a result, the OIG estimated that Liberty received $47,5626 in overpayments and recommended that the provider...

WASHINGTON - Accredo Health Group has properly billed Medicare for inhalation drugs, according to a report from the Office of Inspector General. The review follows the inclusion of inhalation drugs in the top 20 DME products with the highest improper payment rates for calendar years 2014-15. Accredo is the first of three providers that will undergo reviews by the OIG. Medicare paid about $1.3 billion for inhalation drugs during 2014-15, with Accredo receiving 26% of payments. The OIG reviewed a random...