decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Medical Specialties / Podiatry / 1996 Fraud Alert - False Claims for Lymphedema Pumps
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Article Overview
This article summarizes an OIG fraud alert focused on improper Medicare claims involving lymphedema pumps and related durable medical equipment activity. It is relevant to podiatry, durable medical equipment billing, Medicare fraud prevention, and post-payment review efforts by DMERCs. The article discusses a reported scheme, the roles of involved parties, and the broader compliance concerns raised by the alert.
Why This Topic Matters
It helps readers understand a historical fraud pattern involving DME billing and referral abuse, which can still inform compliance review and specialty-specific audit awareness.
What You Will Learn
- The type of fraud pattern described in the alert
- How the issue relates to podiatry and durable medical equipment billing
- Why the alert was directed to Medicare carriers and reviewers
- What compliance concerns were raised about referral-based DME claims
Who Should Read This
- Podiatrists
- Durable medical equipment suppliers
- Medical coders and billers
- Compliance professionals
- Medicare auditors and reviewers
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