Skip to Content

Tag: self-audits


What awaits in the aftermath of self-audits?

December 13, 2019Liz Beaulieu, Editor

YARMOUTH, Maine - Industry stakeholders are watching to see how the Office of Inspector General and CMS respond to provider self-audits on CPAP supplies.About a year and a half ago, more than 80 providers were asked to conduct self-audits looking back six years, and their responses ran the gamut from not responding, to reporting an overpayment and sending a check, according to Jeff Baird.“It's going to be interesting,” said Baird, chairman of the Healthcare Group at Brown & Fortunato....

CPAP Supplies, Jeff Baird, self-audits

Read Full Articlered right arrow icon

Specialty Providers

Stakeholders slam self-audits

October 12, 2018Theresa Flaherty, Managing Editor

WASHINGTON - A recent request by the DME MAC contractors for certain CPAP providers to audit themselves is setting them up to fail, say industry stakeholders.Noridian and CGS recently sent letters to about 82 providers, asking them to do one of two things: audit 100% of their claims for CPAP supplies going back six years; or pull a statistically valid random sample and extrapolate the results.The first request is unreasonable due to the number of claims it would involve, and the second is “ludicrous”...

Audits, CPAP Supplies, self-audits

Read Full Articlered right arrow icon