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White Paper: Fraud, Waste, and Abuse Related to Durable Medical Equipment in Medicare

Announced on  | Last Modified on  | Project Number: OEI-02-24-00311
Status
Active
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

Each year, Medicare payments for durable medical equipment, prosthetics, orthotics, and supplies (also known as DMEPOS) top more than $7 billion in original Medicare alone. Despite safeguards and other CMS efforts, recent cases demonstrate that fraudsters continue to target DMEPOS billing and have developed new schemes. This white paper will build on OIG's extensive expertise on DMEPOS fraud. It will provide information about the nature of DMEPOS fraud in Medicare, key program integrity vulnerabilities, and potential actions to reduce fraud, waste, and abuse.

TIMELINE

  • August 15, 2025
    Announced
  • Today
    Office of Evaluation and Inspections In-Progress
  • Est FY2027
    Estimated Fiscal Year for Project Completion
Work Plan Type
Office of Evaluation and Inspections
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Financial Stewardship Managed Care Medical Supplies and Equipment
Target Groups
-
Financial Groups
Medicare B Medicare C