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CMS suspends more than 100 DME suppliers in fraud crackdown

CMS suspends more than 100 DME suppliers in fraud crackdown

WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) has suspended more than 100 DME suppliers and revoked the Medicare billing privileges of 725 suppliers as part of a broader effort to combat fraud in the program. CMS Administrator Mehmet Oz and Deputy Administrator Kimberly Brandt announced the enforcement actions during a July 9 press event, saying the suppliers had billed Medicare more than $1.5 billion. Brandt said the actions have “wiped out the majority of DME fraud in America.” “In South Florida alone, there are twice as many durable medical equipment suppliers as there are McDonald's,” said Brandt. “Think about that just for a minute.” The crackdown is part of CMS’s Anti-Fraud Task Force and follows the agency’s nationwide temporary moratorium on the enrollment of new DME suppliers. CMS has said the pause will give it additional time to strengthen program integrity and combat Medicare fraud. AAHomecare praised the enforcement effort while urging CMS to protect legitimate providers that furnish medically necessary equipment and services. “Fraudulent actors have no place in Medicare, and every dollar lost to fraud and abuse is a dollar taken away from patients who depend on medically necessary care,” the association stated. AAHomecare says it and its members have called for stronger enforcement for years and have repeatedly offered to work with the administration to combat fraud.

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