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Tag: OIG audit

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Pacific Medical target of audit for braces

January 4, 2019HME News Staff

TRACY, Calif. - Pacific Medical did not always comply with Medicare requirements when billing for selected orthotic braces, according to an audit by the Office of Inspector General. For 89 of the 100 sampled claims, the company complied with requirements, but for the remaining 11 claims, it did not. Specifically, Pacific Medical billed for orthotic braces that were not medically necessary for nine claims and could not provide medical records for two claims, the OIG says. “The deficiencies occurred...

Braces, OIG audit, Pacific Medical

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Changing PMD rules create moving target

December 11, 2015Tracy Orzel

SARASOTA, Fla. - The Office of Inspector General's recent audit of mobility giant Hoveround raises questions about how the agency applies standards and extrapolates overpayment amounts.Out of a sample of 200 randomly selected Hoveround claims for PMDs from 2010, the OIG found 154 did not meet Medicare requirements. Of those, the agency says 144 did not meet medical necessity requirements and 10 had incomplete documentation.But Hoveround argues the OIG applied incorrect standards and is calling for...

Hoveround, OIG audit, Power mobility devices

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