Printer Friendly, PDF & Email

In Provider Compliance Audit, OIG Said HHA Was Overpaid $5.9M

Mission Home Health of San Diego Inc. was overpaid $61,718 in 2015 and 2016, which was extrapolated to $5.9 million, according to the latest Medicare home health agency (HHA) provider compliance audit. The HHS Office of Inspector General (OIG) recommended the HHA refund the portion of the money within the reopening period and hunt down additional overpayments in accordance with Medicare’s 60-day overpayment refund rule, the audit report[1] said.

Mission Home Health disagreed with virtually all of OIG’s findings and recommendations, and before the report was finalized, OIG said it “reduced the sampled claims incorrectly billed from 38 to 32 and revised the related findings and recommendations.” Otherwise, “We maintain that our remaining findings and recommendations are valid, although we acknowledge Mission Home Health’s right to appeal the findings.”

This document is only available to subscribers. Please log in or purchase access.