Pharmacy suppliers must get educated and prepared for Medicare Part B Audits.
CMS continues to be under pressure for the accountability of the integrity of the Medicare Trust Fund. Today there are more avenues than ever for detection of fraud in the Medicare program. CMS has implemented new audit tools, DME MAC Medical review departments have grown and become more sophisticated, and the OIG has become increasingly aggressive in auditing DME companies. The government has also increased its budget considerably for reducing improper payments, including the addition of more expansive audits.
OmniSYS, the nation’s leading Medicare Part B biller, published a white paper on the current state of Part B audits that is a must read for any pharmacy supplying Medicare Part B items.
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