Under this law, the limits on when a Medicare Administrative Contractor can conduct a prepayment review have been removed. Also under the Reconciliation Act, if the Secretary determines that there is a significant risk of fraudulent activity among DME suppliers, then the Secretary will withhold Medicare payment of any claims submitted by a supplier that is initially enrolling in Medicare.
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Jeffrey S. Baird, Esq. is chairman of the Health Care Group at Brown & Fortunato, P.C., a law firm based in Amarillo, Texas. He represents pharmacies, infusion companies, home medical equipment companies and other health care providers throughout the United States. Baird is board-certified in health law by the Texas Board of Legal Specialization. He can be reached at 806/345-6320 or email@example.com.