Sec. 703. Other DME supplier anti-fraud and abuse provisions
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/bill/113/hr/3622/ih/section-703A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
The Secretary of Health and Human Services shall require, as a condition for participation of suppliers of durable medical equipment under part B of title XVIII of the Social Security Act— a site inspection to be conducted for each such supplier that has not previously participated under such part within 6 months of the date of its initial participation under such part; and a site inspection at least every 2 years to be conducted for each such supplier that has previously participated under such part.
The Secretary also shall provide conduct post-payment reviews of claims for items and services furnished under such part by durable medical equipment suppliers that begin participation under such part after the date of the enactment of this Act. Such reviews shall be conducted not less often than after the first 6, 12, and 18 months of such participation. Funds in the Health Care Fraud and Abuse Control Account under section 1817(k) of the Social Security Act ( 42 U.S.C. 1395i(k) ) shall be available for the conduct of site inspections and post-payment review required under this section.
In this section, a skilled nursing facility shall not be treated as a supplier of durable medical equipment with respect to any individual who is a resident of such facility.
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Sec. 703
Other DME supplier anti-fraud and abuse provisions
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