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Preparing for Increased Audit Activity: How VGM Group and The van Halem Group Can Help

Published in VGM Government Relations on September 02, 2026

The recent HHS Office of Inspector General (OIG) report on DMEPOS fraud signals that CMS is likely to increase oversight activities across the industry. The report calls for enhanced supplier enrollment screening, more aggressive medical reviews, expanded use of artificial intelligence and data analytics, greater physician order verification, and increased scrutiny of supplier ownership and billing practices.  

While these initiatives are designed to identify and remove bad actors, legitimate providers should be prepared for a heightened audit and compliance environment. 

Be Prepared Before an Audit Occurs 

Now is the time for providers to evaluate their compliance programs and documentation processes. Key areas to review include: 

  • Medicare enrollment records 
  • Ownership and organizational disclosures 
  • Clinical documentation requirements 
  • Proof-of-delivery procedures 
  • Physician orders and medical necessity records 
  • Internal compliance monitoring and auditing activities 

A proactive approach can help reduce audit risk and improve outcomes when documentation requests arise. 

Leverage VGM Group and The van Halem Group Resources 

VGM Group members have access to industry-leading compliance expertise through The van Halem Group, one of the most respected regulatory and audit consulting organizations in the DMEPOS industry. 

Resources available to members include: 

  • Audit readiness assessments 
  • Mock audits and compliance reviews 
  • Documentation and medical necessity guidance 
  • Medicare enrollment and revalidation support 
  • Appeals assistance and audit response strategies 
  • Webinars, educational programs, and compliance training 
  • Regulatory updates and audit trend analysis 

Whether facing an ADR, TPE review, UPIC investigation, SMRC audit, or other contractor review, expert guidance can help providers respond efficiently and confidently. 

Learn from Emerging Audit Trends 

As CMS deploys more advanced analytics and fraud detection tools, providers will need to maintain strong documentation practices and compliance controls. VGM Group and The van Halem Group continuously monitor regulatory developments and emerging audit targets, providing members with practical guidance and actionable insights to stay ahead of changing requirements. 

Moving Forward Together 

The DMEPOS industry supports efforts to combat fraud and protect the Medicare program. As oversight intensifies, VGM Group will continue to advocate for policies that appropriately target fraudulent activity while protecting patient access and reducing unnecessary burdens on compliant providers. 

By taking advantage of VGM Group's advocacy, education, and compliance resources, along with the specialized expertise of The van Halem Group, members can strengthen their organizations, reduce risk, and remain focused on what matters most: delivering high-quality care and service to the patients they serve. 

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