BC Advantage - 2017 Issue 1
DME AUDITS ARE BACK! ARE YOUR CLAIMS COMPLIANT?
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Article Overview
This article discusses renewed Medicare audit activity affecting durable medical equipment suppliers and the documentation standards those suppliers are expected to maintain. It is aimed at DME providers, billing staff, compliance teams, and others responsible for preparing claims and preserving supporting records. The article also touches on broader HHS-OIG oversight themes and the practical risk of post-payment review.
Why This Topic Matters
DME suppliers need to understand how audit activity and documentation expectations can affect claim payment, overpayment exposure, and compliance workflows. The topic is important for organizations that handle DME ordering records, supplier files, and audit defense preparation.
What You Will Learn
- Why Medicare audit activity has increased for DME suppliers
- What kinds of supplier documentation are discussed as part of claim support
- How post-payment reviews can affect claim liability and overpayment risk
- What the article says about broader oversight priorities and audit trends
Who Should Read This
- Durable medical equipment suppliers
- Medical billing and coding professionals
- Healthcare compliance staff
- Audit and appeals teams
- Physician office staff involved in DME orders
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