Submitting OIG:
Report Description:
Of the 120 sampled outpatient claims totaling $415,513, First Coast Service Options, Inc. (First Coast) made payments for hyperbaric oxygen (HBO) therapy in accordance with Medicare requirements for 5 claims. However, First Coast made payments for HBO therapy that did not comply with Medicare requirements for 110 claims (92 percent), resulting in overpayments for HBO therapy totaling $351,970. We did not review the remaining five claims because one was canceled and the Recovery Audit Contractor indicated that the other four were under review by another entity.
Date Issued:
Thursday, December 20, 2018
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-16-06196
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
First Coast Service Options, Inc.
Location(s):
Agency-Wide
Type of Report:
Audit
View Document:
Attachment | Size |
---|---|
41606196.pdf | 3.23 MB |
Additional Details Link: