Tag: Program integrity
Program integrity: Timely filing change could be in play
October 16, 2026Liz Beaulieu, Editor
WASHINGTON – Home medical equipment (HME) providers are bracing for additional Medicare oversight measures as the Centers for Medicare & Medicaid Services (CMS) continues its efforts to combat fraud, waste and abuse, including a possible proposal that could impact timely filing requirements.
“We’re anticipating a new rule coming out that will touch us,” said Kim Brummett, senior vice president of regulatory affairs for AAHomecare. “We do think they’ve done a...
In brief: AO oversight finalized, Medicaid oversight tightened, scam campaign launched
June 19, 2026HME News Staff
WASHINGTON – The Centers for Medicare & Medicaid (CMS) has published a rule finalizing enhanced oversight of accrediting organizations (AOs).
The agency says the rule, “Strengthening Oversight of AO and Preventing AO Conflicts of Interest,” ensures that the organizations responsible for the oversight of more than 9,000 health care providers and suppliers use Medicare standards, and creates greater consistency between State Survey Agencies (SAs) and AOs in their survey processes.
“The...
Louisiana strengthens Medicaid provider oversight
June 18, 2026HME News Staff
BATON ROUGE, La. – The Louisiana Department of Health is implementing enhanced provider oversight measures designed to strengthen Medicaid program integrity, protect beneficiaries and ensure taxpayer dollars are spent appropriately. The initiative includes more frequent reviews of high-risk providers, expanded provider verification requirements, enhanced monitoring and data analytics, and closer coordination with state and federal program integrity partners. “Every taxpayer dollar entrusted...