OANDP-L
  • Login
No Result
View All Result
The O&P EDGE
  • PECOS
  • Magazine
    • Subscription
    • Current Issue
    • Issue Archive
    • News Archive
    • Product & Service Directory
    • Advertising Information
    • EDGE Flipbooks
  • O&P Jobs
    • Find a Job
    • Post a Job
  • EDGE Advantage
    • EA Homepage
    • EA Data
  • O&P Facilities
  • Resources
    • Product & Service Directory
    • Calendar
    • Contact
    • About Us
    • O&P Library
    • The Guide
    • Custom Publications
    • Advertising Information
    • EDGE Direct
    • Amplitude Media Group
  • PECOS
  • Magazine
    • Subscription
    • Current Issue
    • Issue Archive
    • News Archive
    • Product & Service Directory
    • Advertising Information
    • EDGE Flipbooks
  • O&P Jobs
    • Find a Job
    • Post a Job
  • EDGE Advantage
    • EA Homepage
    • EA Data
  • O&P Facilities
  • Resources
    • Product & Service Directory
    • Calendar
    • Contact
    • About Us
    • O&P Library
    • The Guide
    • Custom Publications
    • Advertising Information
    • EDGE Direct
    • Amplitude Media Group
No Result
View All Result
The O&P EDGE Magazine
No Result
View All Result
Home News

CMS Announces New Screening Program for DMEPOS Providers

by The O&P EDGE
March 14, 2011
in News
0
SHARES
8
VIEWS
Share on FacebookShare on Twitter

As a part of its ongoing effort to reduce fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) announced that effective March 25, newly enrolling and revalidating providers and suppliers will be placed in one of three screening categories-limited, moderate, or high. Each category represents the risk level that CMS estimates the supplier/provider poses to the Medicare system and determines the degree of screening that the Medicare Administrative Contractor (MAC) will perform when processing the enrollment application.

According to a March 3 CMS listserv announcement, screening procedures for the limited-risk category will largely be the same as those currently in use. Providers in the limited-risk category include, among other, physicians, non-physician practitioners (other than physical therapists), and medical groups or clinics.

Screening procedures for the moderate-risk category will include all current screening measures, as well as an unscheduled or unannounced site visit. Moderate-risk providers include revalidating DMEPOS suppliers and home health agencies, as well as physical therapists enrolling as individuals or as group practices, ambulance suppliers, hospice organizations, independent clinical laboratories, community mental health centers, comprehensive outpatient rehabilitation facilities, and portable x-ray suppliers.

Screening procedures for the high-risk category will include all current screening measures, as well as an unscheduled or unannounced site visit and, at a future date, a fingerprint-based criminal-background check. Newly enrolling DMEPOS suppliers and home health agencies will be placed in the high-risk category.

“The Affordable Care Act requires CMS to determine the level of screening to be conducted during provider and supplier enrollment based on the level of risk posed to the Medicare system,” CMS stated in its listserv post. “With the enactment of the Affordable Care Act, we have the increased ability to focus our efforts on prevention, rather than simply acting after the fact. The use of risk categories and associated screening levels will help ensure that only legitimate providers and suppliers are enrolled in Medicare, Medicaid, and CHIP, and that only legitimate claims are paid.”

To read the final rule published in the Federal Register, visit www.gpo.gov/fdsys/pkg/FR-2011-02-02/pdf/2011-1686.pdf

Related posts:

  1. New Medicare Supplier Enrollment Rules Include Stiff Penalties
  2. The RACs Are Coming: Preparing for Medicare Claims Denials of O&P Care
  3. CMS Announces Competitive Bidding Final Rule, First MSAs
  4. New Developments in O&P Medicare Claims and Other Matters
Previous Post

Amputee Coalition’s Bridge to Ability Scholarships Now Available

Next Post

Hanger P&O Promotes Two Sales Team Members

Next Post

Hanger P&O Promotes Two Sales Team Members

Linkedin X-twitter Facebook

VIEW CURRENT ISSUE

SUBSCRIBE FOR FREE

 

RECENT NEWS

Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.
SUBSCRIBE TODAY

O&P JOBS

Central

ABC Certified or Board Eligible Orthotist/Prosthetist

Pacific

Pediatric Orthotic & Prosthetic Clinician Department of Orthopaedic Surgery – UCSF

Eastern

CERTIFIED ORTHOTIC FITTER

The O&P EDGE Magazine
 
Required 'Candidate' login to applying this job. Click here to logout And try again
 

Login to your account

  • Forgot Password? | Sign Up

Reset Password

  • Already have an account? Login

Enter the username or e-mail you used in your profile. A password reset link will be sent to you by email.

Signup to your Account

  • By clicking checkbox, you agree to our Terms and Conditions and Privacy Policy

    Already have an account? Login

Close
No Result
View All Result
  • PECOS
  • MAGAZINE
    • SUBSCRIBE
    • CURRENT ISSUE
    • ISSUE ARCHIVE
    • NEWS ARCHIVE
    • PRODUCTS & SERVICES DIRECTORY
    • ADVERTISING INFORMATION
  • O&P JOBS
    • FIND A JOB
    • POST A JOB
  • EDGE ADVANTAGE
    • EA Homepage
    • EA Data
  • FACILITIES
  • RESOURCES
    • PRODUCTS & SERVICES DIRECTORY
    • CALENDAR
    • CONTACT
    • ABOUT US
    • O&P LIBRARY
    • THE GUIDE
    • CUSTOM PUBLICATIONS
    • ADVERTISING INFORMATION
    • EDGE DIRECT
    • AMPLITUDE
  • OANDP-L
  • LOGIN

© 2025 The O&P EDGE

Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?
 

Account Activation

Before you can login, you must activate your account with the code sent to your email address. If you did not receive this email, please check your junk/spam folder. Click here to resend the activation email. If you entered an incorrect email address, you will need to re-register with the correct email address.

 

© 2024 The O&P EDGE

  • About
  • Advertise
  • Contact
  • EDGE Advantage
  • OANDP-L
  • Subscribe

CONTACT US

866-613-0257

[email protected]

201 E. 4th St.
Loveland, CO 80537

The most important industry news and events delivered directly to your inbox every week.

  • About
  • Advertise
  • Contact
  • EDGE Advantage
  • OANDP-L
  • Subscribe

© 2025 The O&P EDGE

Welcome Back!

Login to your account below

Forgotten Password?

Retrieve your password

Please enter your username or email address to reset your password.

Log In
The O&P EDGE Magazine
 
Required 'Candidate' login to applying this job. Click here to logout And try again
 

Login to your account

  • Forgot Password? | Sign Up

Reset Password

  • Already have an account? Login

Enter the username or e-mail you used in your profile. A password reset link will be sent to you by email.

Signup to your Account

  • By clicking checkbox, you agree to our Terms and Conditions and Privacy Policy

    Already have an account? Login

Close
No Result
View All Result
  • PECOS
  • MAGAZINE
    • SUBSCRIBE
    • CURRENT ISSUE
    • ISSUE ARCHIVE
    • NEWS ARCHIVE
    • PRODUCTS & SERVICES DIRECTORY
    • ADVERTISING INFORMATION
  • O&P JOBS
    • FIND A JOB
    • POST A JOB
  • EDGE ADVANTAGE
    • EA Homepage
    • EA Data
  • FACILITIES
  • RESOURCES
    • PRODUCTS & SERVICES DIRECTORY
    • CALENDAR
    • CONTACT
    • ABOUT US
    • O&P LIBRARY
    • THE GUIDE
    • CUSTOM PUBLICATIONS
    • ADVERTISING INFORMATION
    • EDGE DIRECT
    • AMPLITUDE
  • OANDP-L
  • LOGIN

© 2025 The O&P EDGE

Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?
 

Account Activation

Before you can login, you must activate your account with the code sent to your email address. If you did not receive this email, please check your junk/spam folder. Click here to resend the activation email. If you entered an incorrect email address, you will need to re-register with the correct email address.