HC Compliance Essentials

OIG Investigates DME More Than Any Other Provider Type

Watchdog agency shines spotlight on HHAs, hospices as well. In an environment of increased scrutiny for  Medicare fraud and abuse, home care providers are taking center stage. The HHS Office of Inspector General investigated durable medical equipment suppliers more than…

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Physician Number Edits To Slam DME Claims In New Year

Are the NPIs on your claims valid? DME suppliers may start the new year off with severely restricted cash flow if they don’t pay attention to a new claims edit taking effect in January. “Contractors are now comparing the [National…

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OIG Dragnets of IDTFs and EMTALA Pressure Physicians

The OIG’s 2010 Work Plan is full of clear enforcement and compliance goals that will affect physicians. And then there are other issues the OIG will investigate that at first may not seem to have much to…

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2 DME Scenarios That Trigger Compliance Problems

‘Supplying’ DME? Make sure your health system understands what ‘freedom of choice’ means. If your hospital holds wheelchair clinics or allows a DME supplier to come to your site and fit patients with prosthetic or orthotic devices…

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Hospitals & DME: 4 Compliance Hot Spots

Are you going with the ‘closet’ option? Do this first. If a patient comes into your hospital with a broken leg, you can’t very well send him home without crutches. But providing patients with the DME they…

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