tci Part B Insider - 2004 Issue 14

Reimbursement

If your practice provides enteral nutrition, you could be in for a nasty cut. The HHS Office of Inspector General wants deep cuts to payments for category I enteral nutrition formulas. The OIG found in a Feb. 2 inspection report that Medicare paid 70 to 115 percent more for enteral nutrition than suppliers. Now the OIG wants the Centers for Medicare & Medicaid Services to use its "inherent reasonableness" authority to cut nutrition payments up to 15 percent per year. CMS says procedures for using that authority are still being hashed out. ...

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