Report finds billions of dollars in questionable DME payments.
Edits for durable medical equipment claims could get much tougher if the feds listen to a new Senate report.
Medicare may be wasting billions of dollars on DME claims that aren't legitimate, says the report from the Senate's Permanent Subcommittee on Investigations under the Committee on Homeland Security and Governmental Affairs. "Medicare Part B, the component in which Medicare pays for certain durable medical equipment and supplies ... is particularly susceptible to abuse," the report says.
The subcommittee found widespread problems when looking at diagnosis codes for certain DME items...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: