The Return of Medicare Claims Audits

Several months ago CMS threatened it would resume its claims audits. Now that is happening and audit expert Wayne van Halem provides the details on what’s happening and what providers need to know.

After hitting pause on claims audits to ensure patient access to healthcare during the COVID-19 public health emergency, CMS surprised everyone last fall by announcing it would resume those audits. Well now CMS has started restarting audits, and HME providers might have some room for concern.

In the current episode of the HMEB Podcast, audit expert Wayne van Halem, president of The van Halem Group, joins the podcast to discuss how CMS’s resumption of TPE, RAC and other audits programs is progressing, as well as what expanding resources at OMHA might mean or HME providers.

Download the episode on iTunesStitcherGoogle Podcasts, or listen to it here:

In the previous episode of the HMEB Podcast, Gary Sheehan, MBA, CEO of Spiro Health, who has shared his insights and perspectives on how COVID-19 has impacted providers during the pandemic, rejoins the podcast to discuss how sleep providers and the entire HME industry can transition into a post-pandemic reality and what that might look like.

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 iTunesStitcher, or Google Podcasts, 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