|Medicare Imposes Stronger Protections on Medical Equipment Suppliers|
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) today 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.
"We know the majority of medical equipment suppliers and health care providers want to improve the health of Medicare beneficiaries, but we also know there are those who look for any opportunity to take advantage of beneficiaries and Medicare, including sham operations who are not legitimate businesses,” said CMS Deputy Administrator for Program Integrity, Peter Budetti. "The steps we are taking today provide us with additional tools to support our continuing efforts to reduce Medicare fraud by helping to ensure that only appropriately qualified suppliers are enrolled in the program.”
The additions and revisions to the DMEPOS supplier enrollment standards help ensure that only qualified and legitimate DMEPOS suppliers participate in Medicare. All suppliers for these items, including those DMEPOS items prescribed by the beneficiary's physician, from simple canes and walkers to complex power wheelchairs, oxygen supplies and equipment, and hospital beds now must meet these new standards. This final rule will:
The final rule also clarifies and expands the existing enrollment requirements that DMEPOS suppliers must meet to establish and maintain billing privileges in the Medicare program. Specifically, this final rule will revise current supplier standards to ensure that the DMEPOS supplier maintains a physical facility on an appropriate site that must: