During the American Association for Homecare (AAHomecare) Washington fly-in on February 11, HME stakeholders urged Congress and the Centers for Medicare & Medicaid Services (CMS) to adopt a Medicare Anti-Fraud Legislative Plan developed by AAHomecare. The legislative action plan outlines tough, effective measures to stop waste, fraud and abuse in Medicare’s home medical equipment sector.
Modern Healthcare explained that the “plan calls for mandatory site inspections of all new medical-equipment providers and companies seeking renewal of their CMS contracts; establishing more rigorous quality standards for providers; increasing penalties and fines for billing fraud; and requiring post-payment audit reviews of all new medical-equipment contractors.” To read their report of this plan visit, http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20090210/REG/302109930&nocache=1.
Congressional Quarterly Healthbeat News also reported on the legislative plan, quoting president of AAHomecare Tyler Wilson, as saying, “the anti-fraud plan is the group’s attempt to help reduce Medicare fraud, which costs the $430 billion program as much $60 billion a year. DME accounts for $10 billion of Medicare spending and fraud in that sector accounts for less than $1 billion of that amount. “That has us concerned as it should have everyone concerned.”