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DME monitoring

John Falcetano ( is Director Corporate Compliance at Brooks Health System in Jacksonville, FL.

A critical element of any effective compliance program is monitoring. As a service to our members, each month this column focuses on potential monitors for specific business lines or functions.

Durable medical equipment (DME) is a risk concern for any DME supplier. In fact, there is specific compliance program guidance for DME provided by the Office of Inspector General. The Office of Inspector General’s Compliance Program Guidance for the Durable Medical Equipment, Prosthetics, Orthotics and Supply Industry provides both general and specific guidance as to various internal anti-fraud and abuse controls suppliers can voluntarily implement.[1] The guidance identifies and discusses compliance risk areas that are susceptible to fraud and abuse that compliance professionals can monitor.

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