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Audit Alert! SMRC and RAC add surgical dressing, ostomy and nutrition to their audit lists

Noridian Healthcare Solutions, the Supplemental Medical Review Contractor (SMRC), has added two new DMEPOS items to their current projects lists: surgical dressings and ostomy supplies. Noridian will be conducting post-payment review of claims...

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OMHA announces online appeals submission

The Office of Medicare Hearings and Appeals (OMHA) announced today that appellants can now file  Level 3 Medicare appeals online. As of December 15, 2021, the OMHA e-Appeal Portal (Portal) is now available, allowing you to: Securely...

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Hospice Audits to Increase

In mid-November, the OIG published a report highlighting improper payments for DMEPOS provided to hospice beneficiaries. Officially titled “Medicare Improperly Paid Suppliers an Estimated $117 Million over 4 Years for Durable Medical Equipment,...

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