"In the event that we'll have to fight, we'll win," said Rick Worstell, owner of Marquis Mobility, who says his record includes a 100% approval rate in a prepay audit last year.
It's now up to Medicare to ask for a refund and, if it does, Marquis Mobility would appeal "vehemently," says Worstell, who also founded The Audit Team, which provides audit-related services to providers.
is just the first of many power mobility providers that the OIG plans to audit, Worstell
It was chosen, he
says, because of its high claims volume.
"It was our understanding that it was simply a roll-out of a national program that they were going to start auditing power wheelchair companies," Worstell
An OIG spokesman told HME News
couldn't speak specifically about the Marquis Mobility
did confirm, however, that part of the OIG's 2012 Work Plan is to review Medicare Part B payments to power mobility devices and other DME.
Any audits of power mobility devices in 2006, when providers were confused by and having difficulty complying with a new face-to-face requirement, probably aren't going to turn out well.
says 41 of the 43 claims that the OIG says are in error were submitted within six months of that change.
"If you go back to that timeframe, anyone who's been in the business will tell you it was chaos," he