Medicare Anti-Fraud Initiative Focuses On Durable Medical Equipment
This article was originally published in The Gray Sheet
Executive Summary
The federal government is intensifying its efforts to combat Medicare fraud with a new collaboration between the Federal Bureau of Investigation and HHS targeting durable medical equipment schemes
You may also be interested in...
Medicare In Brief
Hospital-doc payment bundles: CMS announced five hospitals selected to participate in a bundle payment demonstration project, originally announced in May and expected to begin in the next several months, to test the impact on quality and efficiency of a single payment covering both hospital and physician services for an inpatient stay, rather than separate Part A and B payments. Two hospitals in Oklahoma, one in Texas, one in Colorado and one in New Mexico will receive the bundled payments for up to 37 procedures including cardiac valve replacements, angioplasty and hip and knee replacements
Medicare In Brief
Hospital-doc payment bundles: CMS announced five hospitals selected to participate in a bundle payment demonstration project, originally announced in May and expected to begin in the next several months, to test the impact on quality and efficiency of a single payment covering both hospital and physician services for an inpatient stay, rather than separate Part A and B payments. Two hospitals in Oklahoma, one in Texas, one in Colorado and one in New Mexico will receive the bundled payments for up to 37 procedures including cardiac valve replacements, angioplasty and hip and knee replacements
CMS Targets Fraud Among DME Suppliers In Florida, Los Angeles
All durable medical equipment suppliers in three counties in South Florida and four in the Los Angeles area will have to reapply for CMS-855S numbers that allow them to bill Medicare for beneficiaries' DME, prosthetics, orthotics and other medical supplies. The effort is part of a demonstration project launched by CMS July 2