Submitting OIG:
Report Description:
From January 1, 2015, through March 31, 2017 (audit period), Kelley Medical Equipment and Supply, LLC (Kelley Medical), which is located in Durant, Oklahoma, did not always comply with Medicare requirements when billing for selected orthotic braces (i.e., back, knee, and ankle-foot braces). For 24 of the 100 sampled beneficiaries, Kelley Medical complied with the requirements. However, for the remaining 76 beneficiaries, it did not comply with the requirements. Specifically, Kelley Medical billed for orthotic braces that were not medically necessary for 67 beneficiaries and could not provide medical records for 9 beneficiaries.
Date Issued:
Thursday, January 17, 2019
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-17-03030
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Kelley Medical Equipment and Supply, LLC
Location(s):
OK
United StatesType of Report:
Audit
Questioned Costs:
$4,079,308
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
91703030.pdf | 3.37 MB |
Additional Details Link: