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What Do CMS' Fraud Efforts Mean for DME?

This article was written by Liz Beaulieu, originally featured in HME News The Centers for Medicare and Medicaid Services (CMS), under the new administration, has made combating fraud, waste, and abuse a top priority—bringing the durable...

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Understanding DMEPOS Audits Best Practices

In today's healthcare environment, understanding the nuances of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) audits is crucial for ensuring compliance and maintaining the financial health of your practice. A small oversight...

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The Return of Competitive Bidding

This blog was originally published by VGM Government Relations on June 4, 2025 The Centers for Medicare & Medicaid Services (CMS) appear to be laying the groundwork for another round of the Competitive Bidding Program (CBP). While full implementation...

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Audit Alert: SMRC adds surgical dressings to their current projects list

Noridian Healthcare Solutions, LLC (Noridian), as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare and Medicaid (CMS), announced that they are conducting post-payment review of Medicare DME surgical dressing claims billed...

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How to Grow and Manage a Thriving HME Business Amidst Audit and Compliance Landmines

The HME industry is a vital part of the healthcare ecosystem, providing essential services and equipment to patients in need. However, navigating the complex landscape of audits and compliance can be challenging. While the goal is to grow your HME business,...

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DME MACs share information on proper coding and billing of Pneumatic Compression Devices (PCD)

On October 3, 2024, a joint DME MAC publication was posted to provide guidance on the correct coding and billing of pneumatic compression devices (PCD). The article aslo explains that both the pneumatic compression device LCD and accompanying...

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DME MACs update wheelchair home assessment requirement

On June 13, 2024, a joint DME MAC article was published, advising the DMEPOS supplier community of recent revisions to the Manual Wheelchair Bases policy article.  Effective July 1, 2024, the following statement was REMOVED:  “When...

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Medicare Provider Enrollment Updates: What you need to know NOW!

The Centers for Medicare & Medicaid Services (CMS) continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations. Specifically, updates have been made to Medicare’s provider and supplier...

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DMEPOS Competitive Bidding Program on temporary hold

On Thursday, May 25, 2023, CMS announced that the DMEPOS Competitive Bidding Program will begin a temporary gap period, starting January 1, 2024. In the weekly Medicare Learning Network (MLN) MLNConnects newsletter, CMS provided details on the current...

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Updating your provider enrollment file? Use the current 855-S...or else!

CMS recently updated the 855-S DMEPOS supplier application, effective January 9, 2023. The new form can be found on the CMS Forms List and is currenlty being accepted for new enrollments and changes of information.  The National Provider Enrollment...

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