decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Durable Medical Equipment / Operation Wheeler Dealer targets wheelchair fraud
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Article Overview
This article reviews a CMS and OIG program aimed at reducing fraudulent billing in the durable medical equipment space, with emphasis on power wheelchair supplier oversight, enrollment screening, payments review, and related regulatory actions. It is relevant to compliance staff, DME suppliers, billing professionals, and others monitoring Medicare program integrity and supplier requirements. The article also references broader Medicare review policy activity and compliance resources for organizations seeking to understand the initiative’s general scope.
Why This Topic Matters
The topic affects DME suppliers and billing operations that must stay alert to Medicare compliance changes, supplier enrollment scrutiny, and payment oversight tied to wheelchairs and scooters.
What You Will Learn
- The general purpose and scope of a CMS/OIG anti-fraud initiative in the DME arena
- How supplier oversight and enrollment review are discussed at a high level
- What kinds of regulatory and review measures were announced or anticipated
- How the article frames compliance considerations for organizations involved with wheelchair-related billing
Who Should Read This
- Durable medical equipment suppliers
- Medical billing and coding professionals
- Compliance officers
- Healthcare administrators
- Medicare contractors and review staff
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