Medicare Claims Audits: They’re Ba-aack

Audit expert Wayne van Halem joins the HME Business podcast to discuss how CMS will phase its audits back in, and how providers should prepare.

Remember how, back on March 30, CMS suspended its claims audits to help DMEPOS suppliers continue serving beneficiaries during the COVID-19 Public Health Emergency? Well, CMS surprised everyone by announcing it would resume those audits starting in August. So, how is CMS resuming its audits? What's the timeline? What do providers need to do?

In the current episode of the HMEB Podcast, audit expert Wayne van Halem, president of The van Halem Group, discusses how CMS will likely phase back in the DME MAC Targeted Probe and Education, Supplemental Medical Review Contractor (SMRC) reviews and Recovery Audit Contractor (RAC) audits. He also outlines how providers should prepare, and tackles additional questions.

Download the episode on iTunes Stitcher Google Play, or listen to it here:

In the previous episode of the HMEB Podcast, Don Clayback, executive director of the National Coalition for Assistive and Rehab Technology (NCART), sits down to discuss a campaign to convince lawmakers to add their signatures to a House sign-on letter urging CMS to not apply competitive bidding-derived pricing to accessories for manual complex rehab wheelchairs.

The HMEB Podcast examines essential news, trends, and developments, and interviews industry experts to find out how HME provider owners and operators can run efficient, profitable, and growing businesses with an eye on patient care. Make sure to subscribe on iTunes, Stitcher or Google Play, and start listening today!

About the Author

David Kopf is the Publisher HME Business, DME Pharmacy and Mobility Management magazines. He was Executive Editor of HME Business and DME Pharmacy from 2008 to 2023. Follow him on LinkedIn at and on Twitter at @postacutenews.

HME Business Podcast