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OIG to Pos-T-Vac: 51% of claims were no good


DODGE CITY, Kan. – The Office of Inspector General (OIG) this week recommended that Pos-T-Vac Medical, a manufacturer and supplier of male vacuum erectile systems, refund $4.2 million to Medicare for claims that should not have been allowed.

Is CMS *really* serious about saving money?

Thursday, September 15, 2011

Managing Editor Theresa Flaherty and I had an interesting conversation after we posted to our website this story about how CMS has failed to use the surety bond requirement to recover erroneous payments.

An HME provider is the complete package

Tuesday, June 28, 2011

I think it's worth highlighting a comment to my last blog about a recent OIG opinion criticizing arrangements between DME providers and sleep labs whereby the DME provider pays the sleep lab to perform certain services related to setting up pati

OIG: HME accounts for 25% of errors


The Office of Inspector General (OIG) has analyzed errors in the Comprehensive Error Rate Testing (CERT) program for 2009 and found that, out of 99,480 claims, 19,754 had improper payments, valued at about $4.7 million. Of the six types of providers included, HME providers accounted for 25% of those improper payments. The most common error: insufficient documentation.

OIG: NPI delay, fraud may be connected


WASHINGTON - Allowing HME providers to use their NPI numbers in the referring physician field represents a "claims processing vulnerability," according to a memo that the Office of Inspector General (OIG) sent to CMS this month.

OIG rips on HME documentation


"Based on our sample, we estimated that Palmetto GBA (the DMERC for Jurisdiction C at the time) paid approximately $127 million to suppliers who did not have the required documentation on file to support items with 2006 dates of service," the OIG stated.

No accreditation or surety bond? No problem. Here's a million bucks.

Thursday, January 21, 2010

I just came across yet another article on Medicare fraud. The story lead off with—wait for it—a fake DME provider in Miami.

An article by Mark Potter on reads:

OIG report: Not the first, nor the last

Monday, January 11, 2010

Since all the buzz in the wheelchair market these days is the recent OIG report, I thought it would be interesting to put together a rundown of recent OIG reports on power wheelchairs and another on the way:

'Documentation debacle'

Monday, January 4, 2010

There has been some interesting chatter on the NRRTS listserv today about the OIG report on power wheelchair documentation (If you're not part of the NRRTS listserv you should be; go here

OIG: Wheelchair documentation is more often wrong than right

Wednesday, December 30, 2009

Three out of five claims for standard and complex power wheelchair claims did not meet Medicare documentation requirements during the first half of 2007, the Office of Inspector General (OIG) states in a new report.