Optum360 coding books logo
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
January 25, 2018

Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More

New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More

OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More

View Article Archive

To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:

Medical Coding News Archives


January 12, 2010:

In an ongoing effort to reduce waste, fraud, and abuse, the Centers for Medicare and Medicaid Services (CMS) is requiring certain durable medical equipment suppliers to post a surety bond and has revoked the billing privileges of more than 1,100 medical equipment suppliers in south Florida and southern California.

The agency has also suspended payments to some Dade County Florida home health suppliers and is implementing extensive pre- and post-payment review of claims submitted by referring physicians. 

The Balanced Budget Act of 1997 initiated surety bond regulations that require suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) to post a $50,000 surety bond. Existing suppliers must comply with this requirement by Oct. 2, 2009, while newly enrolling suppliers have only until May 4, 2009. CMS indicates that the surety bond is required, in part, because of a large number of improper and potentially fraudulent payments to medical equipment suppliers for furnishing medical equipment and devices to people with Medicare.

The intense scrutiny of home health claims also includes: 

  • Using follow-up letters to validate claims submitted by physicians who order a high number of certain items or services
  • Verifying the relationship between physicians who order a large number of home health services and the beneficiaries for whom they ordered those services
  • Identifying and visiting high-risk beneficiaries to ensure they are appropriately receiving the services for which Medicare is being billed

Deborah C. Hall
Clinical/Technical Editor


Sign in to
Your Account
Forgot your username?
Forgot your password?
Don't have an account?
It's easy to create one.
Promo code

Have a promotional source code? Enter it here:

What is this?
Shop our catalog

Request or check out the electronic version of our latest catalog.

Medical Coding Books Winter 2018 Catalog