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12 Jan 2009, 7:44 am
It's a cold, cold Monday and time for the weekly round up of posts from my fellow New York law bloggers:Coverage Counsel: Court Rules that DME Provider's Illegal Billing Is Excused by No-Fault Insurer's Untimely Denial New York Criminal Defense Blog: CJI Charge on Robbery in the First Degree Fails to Alert Jury of Requirement of Actual Possession New York Federal Criminal Practice: EDNY Judge Finds Violation of Supervised Release in Sex Offender Case Where Defendant Refrained… [read post]
28 Aug 2020, 12:15 pm
In Operation Brace Yourself, DME and medical brace manufacturers were alleged to have paid “kickbacks” and “bribes” to doctors and nurse practitioners working with telemedicine companies for exchange for Medicare patient referrals for medically unnecessary braces. [read post]
2 Feb 2024, 1:11 pm
Attorney for the District of South Carolina announced that Durable Medical Equipment (DME) companies Hill-Rom Holdings, Inc., Hill-Rom Company, Inc., Hill-Rom Services, Inc., and Advanced Respiratory Inc. [read post]
13 Aug 2010, 9:00 am
NOTE: The term Digital Multimedia Evidence (DME) used in this document refers specifically to multimedia evidence in a digital form. [read post]
26 Jun 2009, 9:01 am
- Fiscal year 2010: DME Medical Necessity Reviews - complex review. [read post]
21 Jul 2015, 3:17 am
On July 15, 2015, the House of Representatives approved by voice vote the following two bills: S. 984, “Steve Gleason Act of 2015” – a bill to cover as durable medical equipment eye tracking and gaze interaction accessories for speech generating devices furnished to individuals with a demonstrated medical need for such accessories; and S. 971, “Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015” – a bill to extend from a… [read post]
2 Dec 2014, 5:48 am
Using these fraudulent prescriptions, DME supply companies submitted fraudulent claims to Medicare.Kotey also admitted that he ordered medically unnecessary diagnostic testing at the North Vermont clinic. [read post]
8 Sep 2023, 8:41 am
Lincare, a durable medical equipment (“DME”) provider, will pay $29 million to settle a False Claims Act case filed in 2021. [read post]
30 Jul 2014, 3:10 pm
Juneau CMS published its notice of intent in the July 29, 2014 Federal Register to expand the demonstration regarding prior authorizations from DME suppliers seeking payment for Power Mobility Devices from the original seven states to an additional twelve states. [read post]
11 Jan 2016, 3:00 am
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to require Medicare prior authorization (PA) for certain durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
6 May 2017, 12:57 pm
This is evidenced in two complex workers' compensation fraud cases, known as the Aspen Medical DME cases, which plead out on May 5, 2017 in Orange County Superior Court. [read post]
8 Apr 2014, 2:51 pm
The total number of DME suppliers and Medicare allowed charges decreased more in CBAs than in the comparator areas. [read post]
15 Oct 2009, 1:22 pm
Similar to an Independent Medical Examination (IME, more practically known as a Defense Medical Examination, DME), a physician conducting an IRE will examine the injured worker. [read post]
23 Apr 2012, 11:57 am
On April 17, 2012, CMS announced that it is recompeting Round One Medicare DME, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding contracts in nine geographic areas, as it is required by statute to do at least every three years. [read post]
30 Mar 2010, 1:09 pm
If the allegations were proven true, competition would have been injured because the competing DME vendors no longer had access to the patients who needed DME. [read post]
25 Apr 2009, 1:20 pm
., decided 4/21/2009) Plaintiff no-fault DME provider brought this class action against Allstate for paying less that 150% of plaintiff's "documented costs" for durable medical equipment and supplies. [read post]
9 May 2017, 10:13 am
., doing business as Pacific Pulmonary Services, a DME based in California, has agreed to pay $11.4 million to resolve allegations against it and its general partner, Teijin Pharma USA LLC, to resolve a False Claims Act (qui tam) lawsuit filed in federal court in San Francisco. [read post]
7 Feb 2018, 7:27 am
Covered DME supplies will be folded into the competitive bidding process. [read post]
15 Aug 2009, 3:14 pm
Kartashyan owned and operated CHH Medical Supply, a durable medical equipment (DME) supply company. [read post]
15 Aug 2011, 3:41 pm
This enabled DME suppliers to charge more for their products and nursing homes to purchase less expensive DME. [read post]
