Audit of the Medicare Enrollment Screening Process for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

Suppliers who receive fee for service/traditional Medicare reimbursement for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) are required to enroll in Medicare. On November 7, 2022, the Centers for Medicare & Medicaid Services began using National Provider Enrollment (NPE) administrative contractors to oversee the enrollment process and to screen all initial applications, revalidation applications, and certain other applications. Because DMEPOS suppliers' enrollment screening by NPE contractors is a relatively new requirement, and DMEPOS continues to be a target of fraudulent billing schemes, we will determine whether the NPE contractors conducted enrollment screenings for DMEPOS suppliers in accordance with Federal regulations.

Announced or Revised	Agency	Title	Component	Report Number(s)	Expected Issue Date (FY)
July 2025	CMS	Audit of the Medicare Enrollment Screening Process for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies	Office of Audit Services	OAS-25-04-091; SRS-A-25-030	2027