OIG audits durable medical equipment provider

The OIG completed an audit of Aveanna Healthcare Medical Solutions Maverick Medical Supply, a durable medical equipment (DME) and supplies provider. The audit evaluated whether there was valid support for the authorization and delivery of fee-for-service DME and supplies associated with Medicaid claims submitted by and paid to Maverick as required by applicable state laws, rules and guidelines.

Of 1,858 claims tested, 1,750 (94 percent) were completed as required by laws, rules and guidelines. Additionally, Maverick obtained Title XIX forms as required for 99.9 percent of clients tested.

However, Maverick did not always meet authorization requirements for DME and supplies, and Maverick did not always maintain the appropriate proof of delivery documentation for Medicaid fee-for-service claims. As a result, Maverick did not meet Texas requirements for DME and supplies for a total of 108 claims, for which Texas Medicaid made payments of $11,735 in error. The total amount due to the State of Texas is $11,735. OIG offered recommendations to Maverick, which, if implemented, will correct deficiencies in compliance with state laws, rules and guidelines.

Read more details in the full audit report.