The full article is a must read: A SCARY NEW TREND: SIX-YEAR LOOKBACK AUDITS - Understanding another 'new normal' for HMEs from HHS OIG. - HME Business
"The Office of Inspector General (OIG) regularly performs audits and reviews as part of its normal functions. In June 2018, it released a scathing report entitled, “Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements.”" ...
"In layman’s terms, suppliers either have to review every claim they have submitted for PAP supplies for the previous six years, or they must identify the universe of claims by taking a statistically valid random sample and extrapolating the results of the audit once the sample has been reviewed. They are asking suppliers to do something that requires the high-level skills and knowledge of an expert statistician."
#HMDRexemptee #HMDR #HME #DME #CPAP
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