decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Durable Medical Equipment / Don't let surprise inspections become unpleasant
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Article Overview
This article explains why durable medical equipment suppliers should pay attention to Medicare enrollment and location requirements highlighted in OIG surprise inspections. It is intended for DME suppliers, billing staff, compliance personnel, and coding/reimbursement professionals who need a broad understanding of supplier-site expectations, inspection concerns, and administrative update obligations tied to CMS enrollment.
Why This Topic Matters
The article matters because it shows how supplier-location and business-hour compliance issues can trigger audit attention and potentially affect Medicare billing activity. It also helps readers recognize the importance of keeping enrollment information current and maintaining visible, accessible business operations.
Article Sections
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Medicare standards reviewed in OIG inspections
Overview of the supplier-site requirements examined during surprise inspections and the context for the review. It introduces the compliance areas emphasized by OIG across multiple states.
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Inspection findings in Florida and other states
Summary of the inspection results reported for Florida and for additional states. This section covers the scope of the reviews and the general compliance problems identified.
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Enrollment updates and practical compliance checks
Discussion of administrative steps suppliers can take to keep enrollment information current and maintain visible business operations. It also notes general measures for reviewing posted information and business accessibility.
What You Will Learn
- Which broad Medicare supplier-site compliance areas were emphasized in the inspections
- Why keeping CMS enrollment information current is important for DME suppliers
- What kinds of operational details suppliers should review to support ongoing compliance
- How OIG inspection activity relates to supplier oversight in the DME setting
Who Should Read This
- Durable medical equipment suppliers
- Compliance officers
- Billing and reimbursement staff
- Medical office administrators
- Healthcare auditors
- Coding and revenue cycle professionals
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