Durable Medical Equipment and Supplies Activities in the OIG's 2011 Work Plan

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On October 1, 2010, The U.S. Department of Health and Human Services Office of the Inspector General (“OIG”) released its Work Plan for 2011. The OIG releases its work plan for each year in advance of the coming year. The work plan provides stakeholders in the health care industry with a broad overview of the OIG’s activities in the coming year as they relate to its enforcement priorities and issues it will review and evaluate during that fiscal year. This client alert is one in a series of alerts that will outline the OIG’s activities, as discussed in the 2011 Work Plan, for a specific industry sector – suppliers of durable medical equipment and prosthetic and orthotic supplier (“DMEPOS”).

The OIG’s activities relating to DMEPOS suppliers for 2011 are broadly focused on issues such as medical necessity of items supplied, frequency of replacement of supplies, suppliers’ documentation in support of their claims for Medicare reimbursement, the competitive bidding program, enrollment and monitoring of suppliers, and cost containment measures. The following is a summary of each of the issues and what the OIG is focusing on.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Ari Markenson | Attorney Advertising

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