Series: Audits of the Medicare Enrollment Screening Process for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

OBJECTIVE

Suppliers who receive fee for service/traditional Medicare reimbursement for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) are required to enroll in Medicare. On November 7, 2022, the Centers for Medicare & Medicaid Services began using National Provider Enrollment (NPE) administrative contractors to oversee the enrollment process and to screen all initial applications, revalidation applications, and certain other applications. Because DMEPOS suppliers’ enrollment screening by NPE contractors is a relatively new requirement, and DMEPOS continues to be a target of fraudulent billing schemes, we will determine whether the NPE contractors conducted enrollment screenings for DMEPOS suppliers in accordance with Federal regulations.

There are 2 projects in this series.

Project titles will remain unpublished until projects are complete and reports are posted.

ACTIVE PROJECTS IN THIS SERIES (2)

TIMELINE

• July 15, 2025
  Series Number SRS-A-25-030 Assigned
• July 15, 2025
  Project Announced

  Project OAS-25-04-091

• July 21, 2025
  Project Announced

  Project OAS-25-04-127

• Today
  2 Audits In-Progress
• Est FY2027
  Estimated Fiscal Year for Series Completion

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