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Bills would provide more oversight of DME

June 26, 2025HME News Staff

WASHINGTON - New legislation introduced in the House of Representatives and Senate would create a pilot program for testing the use of a predictive risk-scoring algorithm to provide oversight of payments for durable medical equipment and clinical diagnostic laboratory tests under the Medicare program, AAHomecare has reported. The algorithm would then assign a risk score to all fee-for-service transactions, with high-risk scores assigned for claims billed at a rate or style that...

Durable Medical Equipment (DME), H.R. 3996, Medicare, Medicare fraud, S. 2066