Tag: Office of Inspector General (OIG)
OIG: Medicare payments for CPAP ‘generally’ comply with billing rules
April 28, 2026HME News Staff
WASHINGTON - Medicare payments made to suppliers for PAP devices generally complied with Medicare billing requirements, according to a new report from the Office of Inspector General (OIG).
For fiscal year 2017, the Comprehensive Error Rate Testing (CERT) Program determined continuous PAP (CPAP) devices had the second highest improper payment amount in the DMEPOS category, with estimated improper payments totaling $495 million for CPAP devices used for the treatment of obstructive sleep apnea...
In brief: OIG’s PAP investigation, Oz’s Medicaid revalidation initiative, CCS’s agentic AI platform
April 27, 2026HME News Staff
WASHINGTON - Medicare payments made to suppliers for PAP devices generally complied with Medicare billing requirements, according to a new report from the Office of Inspector General (OIG).
For fiscal year 2017, the Comprehensive Error Rate Testing (CERT) Program determined continuous PAP (CPAP) devices had the second highest improper payment amount in the DMEPOS category, with estimated improper payments totaling $495 million for CPAP devices used for the treatment of obstructive sleep apnea...
In brief: Norco Medical broadens reach, Drive Medical rebrands, OIG drops fraud video
December 1, 2025HME News Staff
BOISE, Idaho – Norco Medical has acquired Kaysville, Utah-based Petersen Medical, broadening its service offerings and reach across eight states in the Northwest.
Norco Medical expects the acquisition to drive operational excellence and elevate patient experiences.
“We are thrilled to welcome Petersen Medical to the Norco family,” said Norco Inc. President Brent Seward and CEO Nicole Kissler. “Our combined...
OIG warns of DME fraud in new video
December 1, 2025HME News Staff
WASHINGTON – The Office of Inspector General (OIG) has released a new video on combating durable medical equipment (DME) fraud. The OIG states:
“Durable medical equipment (DME), like wheelchairs, oxygen tanks and glucose monitors, is essential for millions of Americans. But this vital support system is also a frequent target for fraud, costing taxpayers billions and putting patients at risk. OIG is working to stop DME fraud through investigations, audits, evaluations and...
OIG: Medicare overpaid for CGMs
November 26, 2025HME News Staff
WASHINGTON – Medicare payments for continuous glucose monitors (CGMs) and supplies exceeded supplier acquisition costs by $377 million (or 69%) and their total estimated costs by $70 million (or 8%) in one year, according to a new report from the Office of Inspector General (OIG).
Medicare Part B payments for CGMs and supplies rose from $109 million in 2018 to $1.3 billion in 2023. Of note, CMS expanded CGM coverage to beneficiaries with Type 2 diabetes in 2023
The OIG compared...
OIG finds CMS did not properly close out multiple contracts
November 20, 2025HME News Staff
WASHINGTON – The Centers for Medicare and Medicaid Services (CMS) did not close selected contracts at cost of $2.1 billion, according to a new report from the Office of Inspector General (OIG).
The 50 contracts selected for review by the OIG totaled $11.2 billion and were eligible for closeout between Oct. 1, 2018, and Sept. 30, 2023.
The OIG’s recommendations to CMS include:
Complete the...
In brief: Amazon One Medical’s new partner, OIG’s new report, AASM’s new guidelines
October 31, 2025HME News Staff
AVON, Ohio – Amazon One Medical and Cleveland Clinic are expanding access to primary care in Northeast Ohio with the opening of the first of two planned offices in the region.
This first office in Avon, Ohio, will be followed with a second office in Shaker Heights, Ohio, by January 2026.
“Primary care helps patients lead healthier lives,” said Pooja Kamath, MD, medical director of Cleveland Offices, One Medical. “We can...
OIG: Medicare paid $22.7M in improper payments for DMEPOS
October 29, 2025HME News Staff
WASHINGTON - Medicare made $22.7 million in improper payments to suppliers for DMEPOS items provided to enrollees during inpatient stays that did not comply with requirements, according to a new report from the Office of Inspector General (OIG).
The OIG also found suppliers may have incorrectly collected up to $5.9 million in deductible and coinsurance amounts from enrollees or from someone on their behalf.
Additionally, the OIG found that system...
OIG questions fraud efforts of Medicaid managed care plans
September 4, 2025HME News Staff
WASHINGTON – CMS needs to follow up with states that have Medicaid managed care plans to ensure they are working to combat fraud, according to a new report from the Office of Inspector General (OIG).
The reports states CMS should:
Follow up with states that had Medicaid managed care plans with no referrals of potential provider fraud, waste or abuse in 2022; and
Encourage states to increase the number of Medicaid managed care plans that have received...
OIG report urges monitoring of remote patient monitoring
September 2, 2025HME News Staff
WASHINGTON – The use of remote patient monitoring continued to grow in 2024, with Medicare payments exceeding $500 million, according to a new report from the HHS Office of Inspector General.
Other key takeaways from the report:
Monitoring billing can help safeguard the Medicare program and prevent fraud, waste and abuse.
Billing that may warrant further scrutiny includes billing for a high proportion of enrollees who have no prior history with the medical practice...