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Home Health & Hospice Week

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WATCH NURSING HOME-RELATED BILLING CAREFULLY

Published on Mon Jan 15, 2007

New OIG report points the way to more scrutiny.

DME suppliers shouldn't miss the latest warning that the feds are closely monitoring Part B billing for residents of skilled nursing facilities.

The report, "Medicare Part B Services for Nursing Home Residents: 2002" (OEI-05-06-00240), looks at Medicare Part B services and allowed payments for nursing home residents not in a Medicare Part A-covered stay during calendar year 2002.

"Part B payments for beneficiaries residing in nursing homes are particularly vulnerable to fraud and abuse," says the OIG in announcing the audit

Translated: Building on this work, OIG plans to assess more current data to help identify potential patterns and areas of questionable billing--and prime targets are suppliers of durable medical equipment.
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