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HRD-81-140 1 (1981-09-10)

handle is hein.gao/gaobabclc0001 and id is 1 raw text is: RE5TF-r7 - 7 t) %e re-leased ---: by the Office of Congzessional Relations. BY THE US, GENERAL ACCOUNTING OFFICE Report To The Honorable / ! Russell B. Long United States Senate Medicare's Reimbursement Policies for Durable Medical Equipment Should Be Modified And Made More Consistent Medicare payments for durable medical equipment--hospital beds, wheelchairs, commodes, etc.--were estimated at $125 mtlion for 1979. For two items of equipment (standard hos- pital beds and wheelchairs), payments for rentals or purchases may not exceed the lowest charge level at which these items are widely and consistently available in a locality. Because the standard items cannot be bought at the amounts allowed and are being purchased in small quantities, the pre- sent method of computing the lpwest charge levels should be discontinued for purchases. Different and more restrictive durable medical equipment re- imbursement and coverage screens are being imposed by the Government in the Atlanta region. Although the screens do help identify claims for unnecessary items, beneficiaries in the Atlanta region must meet criteria that beneficiaries in other parts of the country do not have to meet. In a national program, such as Medicare, the imposition of local require- ments by the administrative agency does not seem appropriate. \t'D sr, 111

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