Skip to Content

Tag: Prison

On the Editor's Desk

Who's left holding the hot potato?

July 16, 2013Liz Beaulieu, Editor

A few weeks ago, a provider tipped me off that CMS had started recouping payments for Medicare beneficiaries who were in prison at the time of dates of service. This provider was dumbfounded: How could these beneficiaries be in prison when they had received equipment and services in their home and signed delivery tickets, he wanted to know. “This goes to a new low in my eyes,” the provider said. I hadn't heard of this type of recoupment from other providers, so I saved his email to my...

CMS, Fraud and Abuse, Home Medical Equipment, Prison, Recoupments

Read Full Articlered right arrow icon


CMS identifies 'large number of overpayments' for incarcerated Medicare beneficiaries

July 16, 2013HME News Staff

BALTIMORE - CMS has initiated recoveries from providers for medical items and services provided to Medicare beneficiaries who were incarcerated on the date of service.CMS has identified previously paid claims that contain dates of service that partially or fully overlap a period when the beneficiary was incarcerated based on information from the Social Security Administration (SSA). The agency generally does not pay for medical items and services furnished to a beneficiary who was incarcerated when...

Home Medical Equipment, Overpayments, Prison

Read Full Articlered right arrow icon