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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Medicare Part B Reimbursement of Hospital Beds," (A-06-91-00080)

May 14, 1993


Complete Text of Report is available in PDF format (2.89 MB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

EXECUTIVE SUMMARY:

This final audit report points out that the Health Care Financing Administration (HCFA) needs to explore a new reimbursement methodology for hospital beds used in the home. Such a methodology should consider a hospital bed's useful life and the many times a bed can customarily be rented. The HCFA should consider options that would; (1) lower the monthly rental payments, but extend the rental reimbursement period and eliminate the purchase option, (2) separate the equipment costs from other costs and profit in determining the monthly Medicare rental payment, or (3) use a competitive bidding process in paying suppliers for hospital bed usage.