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‘Bounty hunters’ after HME

‘Bounty hunters’ after HME

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.

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