S
Stephen Bittinger
1
APPEARANCES
1
PODCASTS
012
DEC 30
JAN 6
JAN 13
JAN 20
JAN 27
FEB 3
FEB 10
FEB 17
FEB 24
MAR 3
MAR 10
MAR 17
MAR 24
MAR 31
APR 7
APR 14
APR 21
APR 28
MAY 5
MAY 12
MAY 19
MAY 26
JUN 2
JUN 9
JUN 16
JUN 23
JUN 30
JUL 7
JUL 14
JUL 21
JUL 28
AUG 4
AUG 11
AUG 18
AUG 25
SEP 1
SEP 8
SEP 15
SEP 22
SEP 29
OCT 6
OCT 13
OCT 20
OCT 27
NOV 3
NOV 10
NOV 17
NOV 24
DEC 1
DEC 8
DEC 15
DEC 22
DEC 29
JAN 5
JAN 12
JAN 19
JAN 26
FEB 2
FEB 9
FEB 16
FEB 23
MAR 2
MAR 9
MAR 16
MAR 23
MAR 30
APR 6
APR 13
APR 20
APR 27
MAY 4
MAY 11
MAY 18
MAY 25
JUN 1
JUN 8
JUN 15
JUN 22
JUN 29
JUL 6
JUL 13
JUL 20
JUL 27
AUG 3
AUG 10
AUG 17
AUG 24
AUG 31
SEP 7
SEP 14
SEP 21
Aug 20, 2026
DME Audits, UPICs, Extrapolation, and AI: Legal Insights with Stephen Bittinger
6:11
6:16
6:37
6:47
A
5:59AlexHOST
Steven, when someone's dealing with an auditor, at what point should they consider bringing in legal counsel like yourself?

Stephen BittingerGUEST
There's buzzwords and acronyms, right? We work in health care, so everything's an acronym.

Stephen BittingerGUEST
So the type of auditor is probably your first and easiest signal, right? So with commercial payers, it's a little more difficult because most of the audits all come from the SIU, Special Investigations Unit, or some other acronym that they allege fraud, waste, and abuse.

Stephen BittingerGUEST
They'll handle both intentional-based audits, meaning they really think somebody did this on purpose, or error-based audits.

Stephen BittingerGUEST
meaning they just build something wrong or a wrong frequency or a wrong unit those types of things the ones that you really got to be worried about are government payers right but there's a bunch of there's lots of different categories of government payers so for dme suppliers the number one nemesis are the upix the unified program integrity contractors for medicare or if you get an audit by a medicaid mafuku mfcu that is the medicaid fraud control unit those ones you need lawyers for because they are hunting genuine fraud and they're pretty aggressive i would say if it's not one of those primary categories most of the times if it's a commercial pair or something that looks odd bit just error based you can you can handle the production on the first round first Second major red flag of when you need counsel is if they mention anything in either the request or the original findings regarding statistical sampling and extrapolation.
11 MINS LATER
W
18:34WayneHOST
So that