DME Fraud Bill Puts Medicare Claims Screening Under Scrutiny
H.R. 8871 would create a 90-day claims-submission period for certain Medicare DME items and require GAO to examine MAC screening technology.
H.R. 8871 would create a 90-day claims-submission period for certain Medicare DME items and require GAO to review MAC screening technology. The bill is not law, but it signals closer attention to claims timing, submission format, and screening outcomes.
What you need to know
- The change: H.R. 8871 would create a 90-day claims-submission period for applicable items and require GAO to review MAC screening technology.
- Who is affected: Healthcare compliance leaders, revenue cycle teams, DME suppliers, health system risk teams, CFOs, audit leaders, and Medicare program-integrity observers.
- Why it matters: The bill appears to focus attention on claims timing, submission format, and screening technology.
- What to do first: Identify whether DME claims workflows rely on paper/fax channels, delayed submission, or manual exception handling.
- Key date or trigger: H.R. 8871 was introduced in the House on May 19, 2026; if enacted, it would require a GAO report by January 1, 2030. (GovInfo)
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