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Audit (A-07-12-05029)

Lower Limb Prosthetics Claims Paid to Ozark Prosthetics and Orthotics Were Not Always Supported by Adequate Documentation

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Paid claims for lower limb prosthetics that had been submitted by Ozark Prosthetics and Orthotics (Ozark) were not always supported in accordance with Medicare documentation requirements. Of the 99 reviewed beneficiary-days (a beneficiary-day represents claim(s) paid for 1 Medicare beneficiary for 1 day) for lower limb prosthetics for which Ozark received payments during the period January 1, 2009, through December 31, 2011, 49 beneficiary-days were either not supported or were only partially supported in accordance with Medicare documentation requirements. As a result of these errors, Ozark received payments totaling $67,000.

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