Medicare:

Excessive Payments for Medical Supplies Continue Despite Improvements

T-HEHS-96-5: Published: Oct 2, 1995. Publicly Released: Oct 2, 1995.

Additional Materials:

Contact:

Office of Public Affairs
(202) 512-4800
youngc1@gao.gov

GAO discussed Medicare payments for medical supplies. GAO noted that: (1) Medicare's payment rates for surgical dressings are generally excessive, compared to wholesale and retail prices; (2) Medicare contractors that process claims for hospitals and nursing homes are unable to identify specific items being billed, which makes it difficult to determine whether the total charges are reasonable; (3) Medicare contractors that process claims for providers have paid for some surgical dressings without first reviewing the claims before payment; (4) claims processing contractors cannot cross-reference payment records to identify possible duplicate payments; and (5) the fee-schedule approach provides a good starting point for setting appropriate Medicare prices, but the Health Care Financing Administration needs greater flexibility to adjust fee schedule prices when market conditions warrant such changes.

Sep 15, 2016

Sep 14, 2016

Sep 12, 2016

Sep 9, 2016

Sep 6, 2016

Aug 31, 2016

Looking for more? Browse all our products here