tci Part B Insider - 2009 Issue 19

DME ERRORS :CERT Error Rate Creates Difficulties for DME Suppliers -- Again

2008 error rate for DME is 70 percent, contractor maintains. Durable medical equipment suppliers who hoped the brouhaha over Medicares durable medical equipment payment rate errors had died down after last years political firestorm have unpleasant news. At the request of the Senate Finance Committee, the OIG reviewed Medicares Comprehensive Error Rate Testing rate for fiscal year 2008. The Committees request came after the OIG last year accused CMS of lowballing the DME CERT rate for 2006, with considerable political commentary. This time around, CMS already had hired contractor Palmetto GBA to double-check a sample of the DME claims...

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