Dec 8, 2025 · Information regarding the Program Audit Process and Protocols, Program Audit and Enforcement Reports, and HPMS Memos relating to the Program Audit process are located in the …

May 30, 2024 · The Durable Medical Equipment, Devices & Supplies Dataset contains information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by …

This report contains a summary of the noncompliance identified during 2024 program audits, as well as enforcement actions resulting from program audits and additional CMS oversight activities.

The Medicare Fee for Service (FFS) Recovery Audit Program’s mission is to identify and correct Medicare improper payments through the efficient detection and collection of overpayments made on …

Subscribe to DMEPOS Fee Schedule Page Last Modified: 12/17/2024 09:24 AM Help with File Formats and Plug-Ins

Sep 10, 2024 · The chart below provides detail on the number of audit elements tested during each audit, the number of Corrective Actions Required (CARs) and Immediate Corrective Actions …

The table below outlines the improper payment rate and projected improper payment amount by claim type for FY 2024. The reporting period for this improper payment rate is July 1, 2022 through June …

Medicare Part B covers medically necessary equipment, devices, and supplies falling under several benefit categories defined under section 1861 of the Social Security Act, commonly referred to as …

Jun 13, 2024 · The revised corrected fees are in the July 2024 (Quarter 3) DMEPOS Fee Schedule file. Your MAC will adjust processed claims for code E2298 with dates of service on or after April 1, 2024, …

Sep 16, 2025 · Effective August 28, 2024, CMS is suspending prior authorization requirements for HCPCS codes E0747, E0748, and E0760 due to continued confusion over some noninvasive …