OIG Collects $132,500 in Overpayments - Healthcare Synergy, Inc.
Summary
The audit focused on ambulation, homebound and medical necessity and found the documentation insufficient to warrant the payment. The OIG used this error rate to estimate that it is possible the agency collected $3.3 million in overpayments over the two year audit period. Do you know that your documentation clearly shows medical necessity, need for skilled services and homebound status for each of your patient’s assessments and visits? One of the hazards of total reliance on agency staff performing audits is largely there is a tendency to overlook weaknesses in documentation. An outside auditor will instead consistently apply the more critical side of the reviews to ensure an adherence to the Conditions of Participation requirements and increase your ability to pass surveys and audits which ultimately means you keep the money paid to the agency.
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