◆ In a Medicare dialysis services provider audit, the HHS Office of Inspector General (OIG) said Nashville, Tennessee-based Dialysis Clinic Inc., the largest nonprofit provider of dialysis in the country, received at least $14 million in unallowable Medicare payments during 2018.^[1] OIG reviewed a random sample of 100 claims and concluded that “DCI claimed reimbursement for dialysis services that did not comply with Medicare requirements for 70” of them. Among the problems, comprehensive assessments or plans of care failed to meet Medicare requirements, dialysis wasn’t completed and dialysis treatments weren’t documented, OIG contended. The net overpayment on the sampled claims was $21,669, which was extrapolated. In a written response, Bradley, a law firm representing DCI, said that the OIG’s report “applies inappropriate payment standards and reflects a misunderstanding of the clinical and financial realities of the dialysis industry, particularly those facing nonprofit companies such as DCI.”