MEDICARE IMPOSES STRONGER PROTECTIONS ON MEDICAL EQUIPMENT SUPPLIERS

New Rule Strengthens Supplier Enrollment Standards to Help Prevent Fraud

The Centers for Medicare & Medicaid Services (CMS)  issued a final rule representing another step to increase protections for Medicare and beneficiaries from potentially fraudulent suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). 

The new regulation enhances Medicare enrollment standards for DMEPOS suppliers by adding several new standards and strengthening existing standards that suppliers must meet before being able to furnish equipment and supplies to Medicare beneficiaries. These new and stronger standards will help to reduce fraud in Medicare and provide beneficiaries with additional assurance that they are being served by legitimate suppliers who meet Medicare’s standards.

Please click here for the entire press release DMEPOS  

Please click here for the Federal Register   Federal Register – 8-27-10 – 2010-21354

DJO Receives PDAC Letters for DonJoy Back Braces!

DJO has received PDAC letters for its DonJoy Back Braces.  These rigid braces have been assigned covered codes and are eligible for reimbursement from Medicare. To view the PDAC letters and the assigned HCPCS codes for each product, please click here DJO PDAC

Feds Accuse 94 of Medicare Fraud

Federal authorities have charged 94 people in what U.S. Attorney General Eric Holder called “the largest federal healthcare fraud takedown in our nation’s history.”   Those being arrested in Miami, Detroit, Houston, New York and Baton Rouge, La., allegedly participated in schemes to submit more than $251 million in false Medicare claims, Holder announced at a July 16 press conference.  Please click here for more information MEDICARE FRAUD

PECOS update-Twenty minutes with CMS’s Jim Bossenmeyer

BALTIMORE – Coming off last week’s confusing Open Door Forum, HME News called Jim Bossenmeyer, director for the division of provider and supplier enrollment at CMS, for clarification on the Provider Enrollment, Chain and Ownership System (PECOS).  For more information and the entire article please click here PECOS

CMS to providers: No PECOS grace period

BALTIMORE – CMS officials aren’t cutting HME providers any slack when it comes to complying with the July 6 deadline for the Provider Enrollment, Chain and Ownership System (PECOS). HME providers who take Medicare referrals on or after July 6 from physicians not enrolled in PECOS risk having those claims rejected, CMS officials stated during last week’s Open Door Forum.  For more information, please click here PECOS Grace Period