Skip to Content

Tag: report


Also Noted

OIG tells CMS again: Switch to ASP for infusion drugs

September 8, 2016HME News Staff

WASHINGTON - The Office of Inspector General in a new report reiterates its concerns that, unlike most Part B drugs, Medicare payment amounts for DME infusion drugs are still based on average wholesale prices from 2003. Three years ago, the OIG published a report recommending changes to Medicare payments for DME infusion drugs; however, CMS has continued to reimburse for these drugs at prices that are unrelated to the amounts providers pay to acquire them. The OIG is concerned that paying for the...

infusion drugs, OIG, report


Read Full Articlered right arrow icon

Mobility

OIG to Hoveround: Pay back $27 million

December 4, 2015HME News Staff

WASHINGTON - The Office of Inspector General (OIG) wants Hoveround to pay back the federal government $27 million for power mobility devices that it says do not meet Medicare reimbursement requirements.The OIG audited claims for 200 randomly selected beneficiaries who received PMDs from the direct-to-consumer manufacturer in 2010 and found 154 did not meet Medicare requirements. Of those, 144 did not meet medical necessity requirements and 10 had incomplete documentation, according to the agency's...

Hoveround, OIG, PMD, report


Read Full Articlered right arrow icon