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20 Nov 2014, 1:11 am
” Special Bundled Payment Rules for Certain DME under the CBP. [read post]
23 Jan 2010, 7:50 am
Rhonda Fleming was sentenced to 30 years in prison for her role in a DME scheme, she was the alleged owner of three DME companies and a billing company that submitted the claims, totaling $36 million. [read post]
10 Feb 2023, 11:57 am
Number Word Mark 6965805 ELEVANCE HEALTH 6965804 ELEVANCE HEALTH 6965949 IVFPRO 6964216 DME SCRIPTS 6964097 KALIBHOOKIN 6962919 PH 6962913 CALLED TO PARENT 6962900 PATTON HALL 6962498 ESTD 2021 BRASS KEY DESIGN CO 6961048 KING BIRD FIRST-CLASS FIREWORKS 6965908 PREMIER MIDWEST REALTY 6960716 THREE RIVERS RUNNING COMPANY 6965681 CHEERSI 6965680 CHEERSI 6965679 ILO 6965678 ILO 6965670 BUBBLEGUMHEAD 6960616 BIOMETX 6957796 6957718 EXPERIOR 6957493 ARATA 6957329 AG… [read post]
6 Jan 2017, 5:57 am
While it is true the company makes these products, the firm’s real profits come from the fact that it is a major pharmaceutical manufacturer as well as major maker of medical devices and durable medical equipment (DME), such as artificial hips and knee implants. [read post]
30 May 2008, 8:24 am
Vitale, PA presented a novel issue in health care fraud during a 5-day sentencing proceeding against Rodolpho Ramirez, a DME operator sentenced by US District Judge Adalberto Jordan (S.D.Fl.) to 24-months imprisonment for making fraudulent claims to Medicare and paying kickbacks to a local physician. [read post]
16 Mar 2015, 6:28 am
On March 16, 2015, the House of Representatives is scheduled to consider the following health policy legislation: H.R. 284, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015 -- which would require Medicare suppliers that bid under a DME, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program to submit binding bids or risk forfeiture of a surety bond; H.R. 876, the “NOTICE Act” – which would require hospitals to provide certain… [read post]
11 Jun 2015, 8:11 am
Of note, the OIG has announced its plans to conduct several new Medicare reviews addressing: intensity-modulated radiation therapy; hospital preparedness and response to high-risk infectious diseases; access to DME in competitive bidding areas; Medicare clinical laboratory payments; inpatient rehabilitation facility payment system requirements; use of electronic health records to support care coordination through accountable care organizations; Part D oversight; and billing trends for Part… [read post]
19 Nov 2014, 10:02 pm
Finally, the rule makes significant changes to Medicare reimbursement policy for DME, prosthetics, orthotics, and supplies (DMEPOS), as discussed in a separate post. [read post]
18 Jun 2015, 2:45 pm
The government claims that the fraud occurred in various areas of healthcare, including home health care, psychotherapy, physical and occupational therapy, durable medical equipment ("DME") and pharmacy. [read post]
19 May 2023, 6:00 am
However, certain other DME, such as oxygen equipment, is available for continuous (i.e., uncapped) rental only. [read post]
19 May 2023, 6:00 am
However, certain other DME, such as oxygen equipment, is available for continuous (i.e., uncapped) rental only. [read post]
26 Dec 2007, 9:05 am
Moreover, I think the DME doctor would likely maintain a nice guy persona during the examination. [read post]
26 Dec 2007, 9:05 am
Moreover, I think the DME doctor would likely maintain a nice guy persona during the examination. [read post]
21 Jul 2009, 5:32 pm
Effective July 1, 2009, persons applying for clinic, home health agency or DME provider licensure or a change of ownership now must a host of new financial information. [read post]
4 Jun 2024, 2:28 pm
Claimants objected to the DMEs because the U.S. licensed physicians were not licensed in Uganda. [read post]
24 Mar 2010, 5:53 am
In total, Family DME submitted more than $1,505,000 in claims to Medicare. [read post]
22 May 2009, 7:24 am
Thus, the DME fee schedule applies only to DME suppliers, and not to medical providers supplying DME directly to patients, for purposes of reimbursing the cost of DME under the no-fault law. [read post]
23 Mar 2009, 6:06 am
The New York State Medicaid program DME fee schedule contains frequency rules, which limit the frequency with which DME items may be dispensed to eligible recipients. [read post]
16 Aug 2023, 11:52 am
Finally, in May and June 2020, CRACCHIOLO and Partner-1 acquired five of their own fraudulent DME supply companies and themselves used fraudulent DME orders to file more than $11 million in fraudulent Medicare claims, seeking payment to the DME suppliers that CRACCHIOLO and Partner-1 controlled. [read post]
16 Jun 2014, 7:04 am
For physicians who wrote certifications, they are now being held responsible for the billings of third party home health agencies, hospices and DME companies. [read post]
