OIG to CMS: Take stronger look at ‘place-of-service’ claims | HME News

“The report found:  For 72% of inappropriate claims, DME suppliers failed to correctly code the SNF as a facility. Instead, they coded the place of service as the beneficiary’s home, thus enabling the claims to bypass the edit that rejects separate payment for most DME provided at facilities. By definition, SNFs provide primarily skilled care and thus cannot be considered beneficiary homes.”

Read the full source article: OIG to CMS: Take stronger look at ‘place-of-service’ claims | HME News

Read the OIG report:  CMS Did Not Detect Some Inappropriate Claims for Durable Medical Equipment in Nursing Facilities


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