tci Medicare Compliance & Reimbursement - 2005 Issue 42

DME: Feds Zero In On Unscrupulous DME Suppliers

Audit suggests CMS contractor not up to speed in all fraud-fighting areas.The Senate's top fraud hawk is now taking aim at the Centers for Medicare and Medicaid Services for not doing enough to protect the Medicare program from the fraudulent and abusive billing of prosthetics, orthotics and other medical equipment.At Sen. Chuck Grassley's (R-IA) request, the Government Accountability Office audited CMS and the National Supplier Clearinghouse's efforts to deter the fraudulent billing practices that led to CMS improperly paying $900 million last year for durable medical equipment. The audit found that NSC, the contractor Medicare officials hired...

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