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News Briefs: November 11, 2019

In a new Medicare compliance review, the HHS Office of Inspector General (OIG) said Angels Care Home Health in Salina, Kansas, didn’t comply with Medicare requirements for 29 of the 72 claims that were audited.[1] The overpayment was $57,148, but OIG extrapolated it to $3.8 million for 2014 and 2015. OIG said Angels Care billed Medicare for patients who weren’t homebound or didn’t need skilled services, or the home health agency submitted claims with the wrong Health Insurance Prospective Payment System payment codes. In a letter to OIG, Angels Care disagreed with its findings and contended the “statistical sampling methodology used by the OIG is unreliable and inherently flawed.”

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