Medicare Vulnerabilities: Payments for Claims Tied to Deceased Doctors: Materials from a Congressional Hearing
Witnesses: Herb Kuhn, Centers for Medicare and Medicaid Services; Robert Vito, Regional Inspector Gen., Dept. of Health and Human Services (HHS); William E. Gray, Social Security Admin. (SSA). Also includes Permanent Subcomm. on Investigations Staff Report, ¿Medicare Vulnerabilities: Payments for Claims Tied to Deceased Doctors.¿
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95-percent confidence interval accurate UPINs active UPINs assigned to deceased CARL LEVIN claims containing deceased claims containing UPINs claims processing contractors claims processing system claims submitted claims that contained claims with deceased claims with invalid CMS Response CMS told contained the UPINs containing deceased physician date of death dates of service deceased doctors deceased physician claims deceased physician data deceased physician UPINs December 31 DME claims DME supplier DMERCs durable medical equipment ensure equipment and supply estimated HIPAA immunosuppressive drug implemented improper payments inactive UPINs invalid or inactive items 17 January license status Medicare beneficiaries Medicare claims containing Medicare Claims Processing Medicare paid Medicare program name and UPIN National Provider Identifier November 15 NPI numbers number of claims ordering/referring physician orthotics percent Physician Identification Numbers reject claims containing statistically random status was changed Subcommittee’s investigation supply claims told the Subcommittee update UPIN registry contractor UPINs of deceased valid UPINs