OIG: MA Encounter Data Lacks Certain Information Critical to Fraud Fighting
- August 28, 2020
Medicare Advantage encounter data continue to lack National Provider Identifiers (NPIs) for ordering providers for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and for laboratory, imaging, and home health services, even though almost half of Medicare Advantage organizations (MAOs) believe that NPIs for ordering providers are critical for combating fraud, the Department of Health and Human Services Office of Inspector General (OIG) found in a report posted August 26.
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