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Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid Services (CMS) said Thursday that the agency is monitoring the issue.
The National Association of ACOs (NAACOS) told the feds that a review of data from CMS’ Virtual Research Data Center found a spike in payments related to two billing codes. Payments for urinary catheters grew from $153 million in 2021 to an eye-popping $2.1 billion in 2023.
NAACOS said the spike in costs could significantly impact ACOs’ finances, slashing savings and potentially impacting benchmark payments.