Skip Navigation Change Font Size

Audit (A-09-12-02053)

04-24-2013
MedEnvios Healthcare, Inc., Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements

Complete Report

Download the complete report

Adobe® Acrobat® is required to read PDF files.

Summary

For calendar year 2011, MedEnvios Healthcare, Inc. (Medenvios), submitted claims for diabetic testing supplies without the KL modifier in accordance with Medicare billing requirements. Beneficiaries may obtain diabetic testing supplies from a walk-in supplier or a mail-order supplier, which delivers the supplies through a common carrier. Suppliers must use the KL modifier on all claims for mail-order diabetic testing supplies.

All 100 sampled line items were properly submitted without the KL modifier because Medenvios used company-owned vehicles to deliver diabetic testing supplies to Medicare beneficiaries at their homes. Under Medicare requirements in effect until CMS implements the revised definition of a mail order item, supplies delivered by company-owned vehicles are not considered mail-order items. Therefore, claims for these supplies do not require use of the KL modifier. Consequently, this report has no recommendations.

Copies can also be obtained by contacting the Office of Public Affairs at Public.Affairs@oig.hhs.gov.

I'm Looking For

Let's start by choosing a topic

Exclusions Database Report Fraud
Newsletter Sign Up Envelop Graphic

Stay up to date on the latest OIG news and opinions

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201