Provider Compliance

FAST FACT

CMS is conducting a 3-year demonstration to ensure that Medicare only pays for power mobility devices (PMDs) that are medically necessary beginning with orders written on or after September 1, 2012. The demonstration will be conducted in seven States with high rates of Medicare fraud: California, Texas, Florida, Michigan, Illinois, North Carolina, and New York. It will target a claim type known to be susceptible to fraud and high improper payment rates. Please refer to MLN Matters® Special Edition Article #SE1231 for more details.

View Previous Fast-Facts

The Medicare Learning Network® (MLN) Products Provider Compliance page contains educational products that inform Medicare Fee-For-Service (FFS) providers on how to avoid common billing errors and other improper activities when dealing with the Medicare Program. Since 1996, the Centers for Medicare & Medicaid Services (CMS) has implemented several initiatives to prevent improper payments before a claim is processed and to identify and recoup improper payments after the claim is processed. The overall goal of CMS' claim review programs is to reduce payment error by identifying and addressing billing errors concerning coverage and coding made by providers.

The MLN products and MLN Matters® Articles on this page are designed to provide education on common billing errors and other improper activities identified through the various claim review programs and help Medicare FFS providers avoid such errors. To download a list of related articles and products, including the “Medicare Quarterly Provider Compliance Newsletter,” which highlights the top issues of that particular quarter, go to the “Downloads” section below.  These lists are updated as new products and articles are developed and existing products and articles are revised.

If you would like to contact the MLN, please E-mail us at MLN@cms.hhs.gov.