DME Owners Face 55 Years Behind Bars

A collage of pictures with the words dme fraud

The owners and operators of four orthotic brace suppliers in Texas and Arkansas recently were convicted for their part in a $6.5 million kickback scheme that included federal anti-kickback law violations. Husband and wife Bruce and Bobbi Stroud, along with Kenric Griffin, owned and operated New Horizons Durable Medical Equipment, Striffin Medical Supply, 4B Ortho…

Read More

CMS Easing DME MAC Requirements

A doctor writing on a clipboard with stethoscope around neck.

The Centers for Medicare and Medicaid (CMS) is modifying requirements for DME Medicare Administrative Contractors (MACs) by allowing them to accept timely orders and medical documentation, regardless of whether the supplier received the documentation directly from the beneficiary’s eligible practitioner or from a transferring supplier, as long as they meet Medicare requirements. In a Change…

Read More

Finalized DME rule targets fraud, abuse

A person holding the word dme rule changed

The Centers for Medicare and Medicaid Services has finalized a rule that creates a prior authorization process for some durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that it has determined are often subject to unnecessary utilization – i.e. healthcare fraud. The rule was first proposed in May 2014 and included a Master List of…

Read More