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Part B Services During Non-Part A Nursing Home Stays: Durable Medical Equipment

If a beneficiary continues to reside in a skilled nursing facility (SNF) after 100 days, Medicare Part B may provide coverage for certain therapy and supplies (non-Part A stay). A July 2009 OIG report found that Medicare Part B allowed inappropriate payments of $30 million in 2006 for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) provided during non-Part A stays in SNFs. This study will determine the extent of inappropriate Medicare Part B payments for DMEPOS provided to nursing home residents during non-Part A stays in 2015. We will also determine whether Centers for Medicare & Medicaid Services has a system in place to identify inappropriate payments for DMEPOS and recoup payments from suppliers.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Nov-16 Centers for Medicare & Medicaid Services Part B Services During Non-Part A Nursing Home Stays: Durable Medical Equipment Office of Evaluation and Inspections OEI-06-16-00380 2018

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