OIG Work Plan targets HMEs

Sunday, October 26, 2003

October 27, 2003

WASHINGTON - In its Work Plan for Fiscal Year 2004, the OIG will study in depth whether HME providers “appropriately used and maintained certificates of medical necessity and whether ordered items were reasonable and necessary.”

In it’s Work Plan, the OIG outlines dozens of areas it plans to look at closely. The goal is to help root out fraud, waste and abuse in Medicare and other programs under the Department of Health and Human Services.

In another area of interest to HMEs, the OIG will review the appropriateness of Medicare payments for certain items of DME, including power wheelchairs and therapeutic footwear. The OIG will also compare Medicare payment rates for certain medical equipment and supplies with rates of other federal and state programs, as well as with wholesale and retail prices.