CMS Rolls Out Strategy to Accelerate Medicare Advantage Audits
The agency will begin auditing all eligible Medicare Advantage contracts each payment year

BALTIMORE, Maryland—The Centers for Medicare & Medicaid Services (CMS) announced a significant expansion of its auditing efforts for Medicare Advantage (MA) plans. Beginning immediately, CMS will audit all eligible MA contracts for each payment year in all newly initiated audits and invest additional resources to expedite the completion of audits for payment years 2018 through 2024.

Home Oxygen Company Completes Medicare Audit
The company’s successful audit completion in the first round resulted in another reprieve from Medicare

MODESTO, California—Home Oxygen Company, a provider of in-home care home medical equipment and supplies, announced that it has completed its first round of the Medicare targeted probe and education audit without error, according to Noridian Healthcare Solutions, the company’s Medica


Computers Unlimited Receives SOC 2 Type II Attestation
Independent audit verifies CU’s internal controls & processes

BILLINGS, Montana—Computers Unlimited, a software development company, announced that it has completed its SOC 2 Type II audit, performed by KirkpatrickPrice. Computers Unlimited said this attestation provides evidence that it has a strong commitment to security and to delivering high-quality services to its clients by demonstrating that they have the necessary internal controls and processes in place.

Hospice Provider Experience Underscores Urgency of Program Integrity Efforts
Findings reveal current audit process’ shortcomings

WASHINTON and ALEXANDRIA, Virginia—Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO)

IRS Audits 1 In 4 Companies Over ACA Non-Compliance
Trusaic research finds home health care industry at higher risk, according to study

LOS ANGELES—While most employers say they believe they are fully compliant with the Affordable Care Act (ACA), approximately one in four have been audited by the Internal Revenue Service, according to new research from HR technology company Trusaic. Home health care is one of the industries found most likely to receive a penalty letter.
 


What You Need to Know About HME Audit Key: An Update

WASHINGTON, D.C. (December 23, 2015)—The initial HME Audit Key test survey from earlier this year tracked audits received from October 2014 through June 2015. One of the preliminary findings was suppliers appealed 80 percent of MAC prepayment denials for respiratory products, and 92 percent were overturned. While based on a small test pool of participants, other findings from the survey indicate that:


CBO examines alternatives to “fix” physician payments

WASHINGTON, Aug. 1, 2012—According to the National Association of Independent Medical Equipment Suppliers (NAIMES), the Congressional Budget Office (CBO) has updated its analysis of the effects of the federal budget of alternative methodologies for a permanent “doc fix” addressing the gap between the Physician Fee Schedule and the spending limits required under the Sustainable Growth Rate (SGR) legislation.