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8 Feb 2019, 6:00 am by Lorraine Rosado
     Medicare Coverage and Payment Requirements Medicare Part B covers Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), including orthotic braces. [read post]
8 Feb 2019, 6:00 am by Lorraine Rosado
Medicare Coverage and Payment Requirements Medicare Part B covers Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), including orthotic braces. [read post]
9 Jan 2019, 1:39 pm by Robert Liles
Texas Prosecutors are Aggressively Targeting Criminal Home Health Fraud (January 9, 2019):  Despite real progress being made with respect to regulatory compliance, home health agencies, their owners, and affiliated health care professionals (such as referring / supervising physicians, therapists and staff) remain under strict government scrutiny. [read post]
21 Dec 2018, 10:43 am by Robert Liles
(viii) A community mental health center (as defined in section 1861(ff)(3)(B) of the Social Security Act). [read post]
10 Dec 2018, 7:19 am by Robert Liles
These rules require among other things, that before beginning a session a mobile dental practice operator must arrange for:“(A) access to a properly functioning sterilization system;  (B) ready access to an adequate supply of potable water; and  (C) ready access to toilet facilities. [read post]
3 Dec 2018, 1:21 pm by Robert Liles
§ 1320a-7b(b):“(1) Whoever knowingly and willfully solicits or receives any remuneration (including any kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind—  (A) in return for referring an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under a Federal health care program,[4] or (B) in return for purchasing, leasing,… [read post]
27 Jun 2018, 3:56 pm by Robert Liles
§ 160.546(b) and asked that the ALJ reduce the assessed penalties to below the statutory cap. [read post]
16 Apr 2018, 11:52 am by Robert Liles
For example, the average improper payment rate for Medicare Part B services has been estimated at between 9.9%-12.9%. [read post]
12 Apr 2018, 8:48 am by Robert Liles
At last count, more than 6,000 qualified DME suppliers billed Medicare Part B for spinal orthoses under one of the six HCPCS codes outlined above. [read post]
12 Apr 2018, 5:00 am by SHG
Under Section 11-9.4-1(b) of the Illinois Criminal Code, “It is unlawful for a sexual predator or a child sex offender to knowingly be present in any public park building or on real property comprising any public park. [read post]
2 Apr 2018, 7:37 am by Robert Liles
While Noridian claims that the PSAVE pilot program is open to almost any Medicare Part B healthcare provider, invitations to participate where not sent out to all of the Medicare participating providers in Jurisdiction F. [read post]
26 Jan 2018, 9:43 am by Ashley Morgan
  The Federation of State Medical Boards defines physician sexual misconduct as: “[B]ehavior that exploits the physician-patient relationship in a sexual way. [read post]
14 Aug 2015, 4:15 pm
I am delighted to post the program for the 10th Annual Conference of the European China Law Studies Association (欧洲中国法研究协会): New Perspectives on the Development of Law in China. [read post]
6 Apr 2015, 6:00 am by Jim Liles and Melanie Martin-Jones
By Jim Liles and Melanie Martin-Jones In trademark infringement litigation, the critical and usually pivotal issue is whether there is a likelihood of confusion between two allegedly similar marks. [read post]