tci Medicare Compliance & Reimbursement - 2005 Issue 17

Enforcement Watch: A Few Bad Apples Ruining It For All DME Providers

DME dealer got wheelchair money - but didn't give her customers wheelchairs. Despite the continued crackdown on power wheelchair fraud, a few errant suppliers continue to keep investigators on high alert.The owner of a Tulsa, OK durable medical equipment company is the latest to plead guilty to forging Certificates of Medical Necessity (CMNs). Now, Janet Merrifield must pay more than $348,000 in restitution to Medicaid, serve five months in prison, five months of home detention and three years of supervised release, according to Oklahoma Attorney General Drew Edmondson. A joint investigation by the state's Medicaid Fraud Control...

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