HHS Targets Billing Fraud for Wheelchairs, Other Equipment in Miami, Los Angeles

Fraudulent suppliers of durable medical equipment, prosthetics, and orthotics are in the sights of the U.S. Department of Health and Human Services, with HHS Secretary Mike Leavitt saying July 3 that a two-year effort will begin to target fraudulent billing that victimizes Medicare beneficiaries. The deceptive companies frequently operate in Miami and Los Angeles, with South Florida and Southern California being the target areas for the effort, Leavitt said.

HHS is working with the Department of Justice via a Medicare Fraud Strike Force. So far, 56 people have been charged in the Southern District of Florida with fraudulently billing Medicare for more than $258 million; 634 supplier billing numbers were revoked; and through this, Medicare has saved a projected $317 million. Products being billed at higher-than-normal rates are motorized wheelchairs; nebulizers, aerosol medications, artificial limbs, and wound therapy treatments. In the Los Angeles area last year, investigations of suppliers resulted in 770 having their billing privileges revoked.

This latest effort will include letters sent to suppliers asking that they resubmit applications to be a qualified Medicare supplier. Those who fail to reapply within 30 days, fail to report a change in ownership or address, or fail to report having owners, partners, directors, or managing employees who have committed a felony within the past 10 years will have their billing privileges revoked. "The concept is straightforward and will be effective," CMS Acting Administrator Leslie Norwalk said. "Enhancing our review of these suppliers will go a long way to ferret out those who do not meet the needs of beneficiaries and the promises of Medicare. CMS hopes to expand this effort nationwide."

Download Center

HTML - No Current Item Deck
  • Free Safety Management Software Demo

    IndustrySafe Safety Management Software helps organizations to improve safety by providing a comprehensive toolset of software modules to help businesses identify trouble spots; reduce claims, lost days, OSHA fines; and more.

  • Easy to Use Safety Incident App

    Record incidents on the go with IndustrySafe’s mobile app. Collect data for multiple types of incidents including including near misses, vehicle and environmental incidents, and employee and non-employee injuries; at job sites and remote locations—with or without web access.

  • Complete Online Safety Training Courses

    Deliver state-of-the art, online safety training courses to your organization with IndustrySafe Training Management Software. Generate reports to track training compliance and automatically notify learners of upcoming or overdue classes.

  • Conduct EHS Inspections and Audits

    Record and manage your organization’s inspection data with IndustrySafe’s Inspections module. IndustrySafe’s pre-built forms and checklists may be used as is, or can be customized to better suit the needs of your organization.

  • Track Key Safety Performance Indicators

    IndustrySafe’s Dashboard Module allows organizations to easily track safety KPIs and metrics. Gain increased visibility into your business’ operations and safety data.

  • Industry Safe
comments powered by Disqus