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State Medicaid overpays for oxygen DME

This article was originally published in The Gray Sheet

Executive Summary

1HHS Office of Inspector General report claims that in six of nine states audited, Medicaid paid providers $12.7 mil. more than Medicare would have allowed for oxygen-related durable medical equipment. Analyses showed further cost savings could be achieved in the 41 non-audited states. CMS replies it cannot follow OIG's recommendation for alerting states to reduce Medicaid, since "these rates are not dictated or prescribed by CMS"...

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