Medicare Vulnerabilities: The Use of Diagnosis Codes in DME Claims
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Serial Number
Levin Center Identifier
OR.110.37
Document Date
2008-09-24
Report Length
76 pages
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Policy Agendas Project Minor Code
Additional, Minority, Dissenting Views
Report Type
Found Using Methodology
Subcommittee(s)
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Brief Executive Summary
The United States Senate Permanent Subcommittee on Investigations conducted an investigation into the fraud, waste and abuse in the Medicare program, this report focuses on the diagnosis codes on DME claims, as well as the effectiveness of CMS\342\200\231s use of the codes. The investigation uncovered that the rules governing the use of Diagnosis codes on DME claims were inconsistent, Medicare has not been effectively utilizing these codes in the claims review process, and some data was incorrect and outdated that was related to millions of claims.
Press Releases and Contextual Information
Related Hearings
Senate Committee on Homeland Security and Governmental Affairs, Permanent Subcommittee on Investigations, hearing on "Medicare Vulnerabilities: Payments For Claims Tied to Deceased Doctors," 110th Cong., S.Hrg. 110-721, (2008, July 9)