Medicare provider is "terminated" from the program - KMOV.com

Medicare provider is "terminated" from the program

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Medicare claims were made for many Arriva Medical patients who are dead. Credit: KMOV Medicare claims were made for many Arriva Medical patients who are dead. Credit: KMOV
ST. LOUIS, Mo. (KMOV.com) -

A Medicare provider that supplies diabetic testing supplies to patients has been "terminated" from the program according to the Centers for Medicare and Medicaid (CMS). 

According to the CMS Press Office, a termination letter was sent to Arriva/Alere for "historic issues that are not publicly disclosed." 

Arriva Medical is a subsidiary of Alere. Arriva is appealing the decision. 

Information provided on Alere's website offers insight into the termination.

According to Alere CMS alleges there were "211 claims for deceased patients during the five-year period from April 15, 2011, through April 25, 2016." 

Alere adds, "the 211 claims allegedly at issue constitute approximately .00038 percent of Arriva's nearly 5.8 million total claims during that period." In addition Alere adds, "updates to the HIPAA Eligibility Tracking System (HETS), which is the CMS system used to determine Medicare beneficiary eligibility (including dates of death), often are not made in sufficient time to allow suppliers to identify deceased patients prior to billing for properly initiated reorders of covered medical supplies." 

According to Alere/Arriva, patients can still receive medical supplies through the company. If Alere/Arriva's appeal is successful, the company will bill Medicare. If the appeal is unsuccessful, the patient will not be billed. 

The Centers for Medicare and Medicaid allows Medicare beneficiaries to call 1-800-Medicare with questions. 

Copyright 2016 KMOV (Meredith Corporation). All rights reserved.

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