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Home > SMT Wrapper

Former SADMERC Director Calls for Stiffer Fraud-and-Abuse Measures

Published Friday, February 13, 2009

LOUDON, Tenn. — The former medical director of the Statistical Analysis Durable Medical Equipment Regional Carrier said this week that in some DME categories — such as orthotics, prosthetics and wheelchairs — as much as 40 percent of the Medicare funds were paid to fraudulent suppliers. And, he said, some manufacturers have contributed to the problem. Doran Edwards, M.D., of Advanced Healthcare Consulting, a Medicare consultant to companies after the SADMERC was eliminated by CMS in favor of the Pricing, Data Analysis and Coding contractor, asserted that some DMEPOS manufacturers have outsourced production, reduced standards for ...

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