Program Integrity Problems With Newly Enrolled Medicare Equipment Suppliers

摘要

The objectives of this document are: (1) to determine the extent to which newly enrolled suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) had their billing privileges revoked or were placed on prepayment claims review and (2) to determine the extent to which newly enrolled suppliers omitted from their Medicare applications required information regarding (a) owners or managers or (b) the criminal histories of owners or managers or any adverse legal actions taken against these individuals.