tci Medicare Compliance & Reimbursement - 2008 Issue 35

Fraud & Abuse:OIG Sets Sights On DME Suppliers

Federal watchdog agency will investigate 20 different DME topics this year Poor documentation could be DME suppliers' downfall when the OIG comes knocking in 2009. The HHS Office of Inspector General lists a whopping 20 durable medical equipment areas it will investigate this coming year. Many of those investigations will involve claims reviews to determine medical necessity for DME items. Power wheelchairs, scooters, hospital beds, oxygen concentrators, enteral nutrition, CPAPs, test strips, support surfaces, negative wound pressure therapy pumps, and more are on the slate for scrutiny, according to the OIG's Work Plan for 2009. The Centers for Medicare...

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