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22 Jun 2011, 6:20 am
Under the commercial-only arrangement, the Requestor DME Supplier consigns PAP equipment and supplies to the IDTF sleep lab. [read post]
5 Jul 2013, 3:52 pm
• Reclassification of Routinely-Purchased DME. [read post]
3 Dec 2013, 2:19 pm
Reclassification of Routinely-Purchased DME. [read post]
8 Feb 2019, 6:00 am
The LCDs outline the conditions under which DME MACs will pay suppliers for those braces. [read post]
23 Apr 2012, 11:19 am
Based on a review of a sample of 2007 claims, the OIG estimates that a claims modifier intended to ensure that Medicare DME claims met coverage and documentation criteria failed to prevent payment of inappropriate claims totaling approximately $314 million. [read post]
22 Jun 2010, 7:42 am
It takes years for these cases to be investigated and prosecuted.A recent Los Angeles case involving a DME billing Medicare for power wheelchairs shows what type of investigations can end up in a criminal courtroom.Some DME companies mistakenly take the position that if there was a physician prescription and the wheelchair was delivered -- there can be no fraud case. [read post]
1 Jun 2016, 10:25 am
It may have opened the doors to a flood of DME requests. [read post]
11 Apr 2019, 2:17 pm
Suspects in the case include executives at five telemedicine companies, the owners of dozens of durable medical equipment (DME) companies and three licensed medical professionals. [read post]
20 Dec 2018, 6:30 am
A pre-arranged pricing agreement for the DME items listed above will reduce the cost of DME. [read post]
9 May 2014, 10:00 am
According to CMS, all newly enrolling home health agencies (HHAs) and durable medical equipment (DME) suppliers are high risk. [read post]
9 May 2014, 10:00 am
According to CMS, all newly enrolling home health agencies (HHAs) and durable medical equipment (DME) suppliers are high risk. [read post]
9 May 2014, 10:00 am
According to CMS, all newly enrolling home health agencies (HHAs) and durable medical equipment (DME) suppliers are high risk. [read post]
14 Aug 2023, 7:13 am
(emphasis applied) [8] The concerns noted in this blog post regarding mail or home delivery of DME to Medicare beneficiaries relate only to DME that such beneficiaries obtain from their physicians who also order the DME for the beneficiaries. [read post]
9 Oct 2009, 4:40 pm
The settlement resolves allegations that the company received kickbacks from McKesson Corp and its affiliate, MediNet Corp to purchase its DME - violating the Anti-Kickback Statute and the False Claims Act. [read post]
9 Oct 2009, 4:40 pm
The settlement resolves allegations that the company received kickbacks from McKesson Corp and its affiliate, MediNet Corp to purchase its DME - violating the Anti-Kickback Statute and the False Claims Act. [read post]
12 Jan 2008, 9:44 am
Some of the many types of health care fraud that this whistleblower lawyer blog has followed involves "durable medical equipment" (DME). [read post]
28 Aug 2008, 8:18 pm
All-Med submitted $419,935,692.74 in fraudulent claims for DME purportedly provided to Medicare beneficiaries by 85 DME suppliers. [read post]
22 Oct 2009, 6:46 am
This case may be related to another DME health care fraud case, U.S. v. [read post]
29 Nov 2012, 11:31 am
While CMS reports that the error rate for most Medicare provider types was in the 4.8% – 9.9% range, durable medical equipment (DME) suppliers had a 66% improper payment rate. [read post]
23 Apr 2009, 1:58 pm
However, after a large number of indictments related to DME companies and with Medicare moving toward a bidding process for DME suppliers, the focus has been turning to the physicians who prescribe DME and the often expensive medications associated with respiratory illness. [read post]
