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Federal Law Enforcement Agencies routinely uncover health care fraud schemes involving Durable Medical Equipment (DME) that were not medically necessary or were never received.
Be diligent in identifying sudden increases in medical spending across your ACO. Specifically, be sure to review Part B DME claims. Be suspicious of any DME claims with an ordering provider who the patient has never seen before. If a specific claim seems unusual or medically unnecessary, report the concern for review. Timely reporting of suspicious claims can result in fraudulent claims being removed, reducing the penalty to your ACO and performance payments.
When a suspicious DME claim has been identified reach out to the impacted patients to determine if they received the equipment. For each suspected DME provider, a minimum of 7 patients must confirm that they did not receive the equipment that was billed and paid by Medicare. After 7 signed attestations and 75% determined to be fraudulent have been collected, report suspicious companies to the SE UPIC contractor, Safeguard Services and the Office of the Inspector General.
Safeguard: http://www.safeguard-servicesllc.com/Home/locations
Safeguard Services Phone: 954-988-2851
OIG: https://oig.hhs.gov/fraud/report-fraud/
Disclaimer: This post is for indicted or confirmed fraudulent companies only. Do not report overuse or suspected fraud. The Florida UPIC defines fraud as at least 7 patient signed attestations that they did not receive services rendered and billed to Medicare. Click here for a template that you may use to send to patients.
If patients ask how to report a complaint, guide them to the OIG at: https://oig.hhs.gov/fraud/report-fraud/. They can file a Complaint Online at: https://tips.oig.hhs.gov/ or call 1-800-HHS-TIPS (1-800-447-8477) TTY: 1-800-377-4950.
If you have any questions on the above process, feel free to reach out to Katy Brooks at kbrooks@pbaco.org.
DME Fraud Alert: https://oig.hhs.gov/fraud/consumer-alerts/fraud-alert-nationwide-brace-scam/
| DME PROVIDER | DME PROVIDER NPI |
|---|---|
| Ademed Supplies Llc | 1063002970 |
| All Health Medical Supply Corp | 1255957262 |
| Always Medical Supply Llc | 1063010619 |
| Angelica Medical Supply Corp | 1275158685 |
| Ao Medical Equipment Llc | 1659960409 |
| Beneficial Medical Supply Inc | 1588232276 |
| Best Medical Supply Inc | 1003481540 |
| Better Choice Medical Supply Inc | 1861086399 |
| Careplus Med Supply Llc | 1053999888 |
| Ccy Services Corp | 1326647033 |
| Choice Med Supply Llc | 1235716481 |
| Clean Medics, Llc | 1649864208 |
| Coco Services & Solutions Inc | 1891392072 |
| D & D Medical Supplies Llc | 1851978001 |
| Del Prado Medical Supply Inc | 1235716606 |
| Dme Plus Inc | 1336718642 |
| Eclipse Medical Supplies Inc | 1255903951 |
| Eddie’S Med Supply Llc | 1891399408 |
| Express Rx Pharmacy Inc | 1376957811 |
| Flexible Medical Supply Inc | 1841879897 |
| Florida Usa Supplies Inc | 1902455959 |
| Gba Services Inc | 1760017156 |
| Healing Services Inc | 1891327839 |
| Hope Of Life Medical Supply Corp | 1386259208 |
| Horizon Med Supplies Llc | 1245848175 |
| Intercoastal Medical Supplies, Inc | 1134790314 |
| Jcd Medical Supply Llc | 1831764950 |
| Lifestyle Med Supply Llc | 1366011223 |
| Majestic Medical Supply Inc | 1295348266 |
| Martinez Medical Supply Inc | 1407412489 |
| Med Medical Supplies Corp | 1013590371 |
| Medexpress Group Inc | 1558984229 |
| Medlife Supply Llc | 1043827694 |
| Msr Services Group Inc | 1962026658 |
| Nahiko Systems Corp | 1962000208 |
| New Med Supplies Llc | 1205443355 |
| One Medical Services Corp | 1376189670 |
| One Way Medical Llc | 1184234866 |
| Pegasus Medical Supply Llc | 1588262828 |
| Unlimited Med Supply Inc | 1306428636 |
| Real Pharmacy Inc, | 1376038554 |
| Saffron Medical Supply Corp, | 1295396307 |
| Sandhill Medical Supply Inc., | 1720695844 |
| Semchudes Inc | 1588334684 |
| Simply Med Services Llc | 1326614769 |
| Snap Medical Equipment Inc | 1376138115 |
| So Florida Medical Supply Group Inc | 1780228577 |
| Sole Medical Supplies Llc | 1932780665 |
| South Med Supplies Corp | 1427643352 |
| Sunshine South Med Supply Llc | 1518635408 |
| Taiku Services Inc | 1871178756 |
| Tap Medical Supplies, Inc | 1518441120 |
| Top Medical Supply Inc | 1679248223 |
| Unlimited Med Supply Inc | 1306428636 |
| Urhealth Corp | 1952981698 |
| Way Care Health Solutions, Inc | 1043804412 |
| Wellcare Medical Supplies, Inc | 1154906824 |
| Yaso House Inc, | 1497365225 |
| Ycc Med-Supply Solutions Corp | 1629644117 |
| Yf Services Inc | 1831774074 |
| Yfr Services Corp | 1427728369 |
| Yg Medical Supplies Inc | 1346845658 |
| Fl. Medical Supplies Inc | 1598434094 |
| Vp Priority Care Services Inc | 1891366464 |
| Cmo Medical Supply Company Llc | 1518578293 |
| Flexible Health Medical Supplies Inc | 1457025710 |
| Kamaleco Services Corp | 1083386148 |
| Mas Hme Services And Supplies Corp | 1093301269 |
| The Blue Medical Supply Llc | 1922679075 |
Please use templates below to collect attestations: