GAO vets DMEPOS oversight
This article was originally published in The Gray Sheet
Executive Summary
A 1Sept. 22 report from the Government Accountability Office finds that efforts by a CMS contractor are insufficient to prevent Medicare fraud by medical equipment suppliers. Licensure checks by the contractor, National Supplier Clearinghouse, are ineffective because they rely on "self-reported information about the items suppliers intend to provide to beneficiaries and [do] not match this against actual billing later," GAO writes. In addition, NSC overlooks too many suppliers in its on-site inspection program. GAO urges CMS to strengthen its supervision of the NSC anti-fraud program, which affects suppliers of durable medical equipment, prosthetics, orthotics and other supplies...