CMS To Use Data From Power Wheelchair Demo To Target Fraud

CMS plans to use the expanded prior authorization demonstration for power wheelchairs to help direct its future fraud investigations, the agency says in a notice on the demonstration. The agency will analyze suppliers who stop billing CMS or have a significant decrease in billing, and also target physicians with a high volume of submissions for leads on potential durable medical equipment fraud. “For instance, where a supplier that frequently submitted claims prior to the demonstration stops submitting claims during the...