Performance Improvement 2008. Do Selected Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supply Suppliers Physically Exist?

01/01/2008

This study examined whether selected Medicare durable medical equipment, prosthetics, orthotics, and supply (DMEPOS) suppliers physically existed and conducted business at their listed addresses. Researchers conducted out-of-cycle site visits of 169 suppliers in 2005, to determine if they met the Medicare requirements of maintaining a physical facility and were open to conduct business. Researchers chose these requirements because they directly impact the ease of beneficiary access to DMEPOS services. Researchers determined compliance with these Medicare requirements through physical site observations and attempts to gain access to the facilities.

Of 169 DMEPOS suppliers, ten did not exist at their business address, yet they billed Medicare almost $393,000 in the two months after researchers had determined that they were absent. Of 169 DMEPOS suppliers, six were closed during posted business hours at the time of the OIG´s site visits.

Report Title: Medical Equipment Suppliers: Compliance with Medicare Enrollment Requirements.Report may be obtained from Federal Contact
Agency Sponsor:
OS-OIG, Office of Inspector General
Federal Contact:
Claire Barnard, 202-205-9523
Performer:
Office of Inspector General
PIC ID: 8786

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