Search for: "dme"
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23 Oct 2012, 6:55 am
Some DME is not expensive and is commonly provided to injured employees. [read post]
14 Mar 2011, 3:12 am
It was admitted at trial that the Medicare fraud scam was able to conceal ownership and submit approximately $3.5 million in false power wheelchair and DME claims to Medicare. [read post]
17 Feb 2020, 9:01 am
Nationwide DME Telemedicine Take-Down. [read post]
25 Oct 2009, 7:43 pm
That same week, the government charged six Houston area residents with participating in a scheme to submit claims to Medicare for medically unnecessary DME. [read post]
15 Oct 2010, 2:16 pm
" For replacement DME supplies, a beneficiary or a beneficiary's caregiver must request refills prior to a supplier dispensing them. [read post]
31 May 2013, 5:24 am
Before this bill, the legal requirements made it too costly for home health care and DME providers to form "certified networks." [read post]
18 Dec 2006, 5:39 am
The Court acknowledged that federal law permits DME suppliers to use a CMN to assist in submitting claims. [read post]
1 Mar 2023, 12:35 pm
The investigation involved DME that was “manually priced” by Medicaid payors in Kentucky, Missouri, and D.C. [read post]
2 Oct 2009, 1:03 pm
" The OIG Work Plan includes: - Reviewing Part B payments for services rendered in home health episodes; - Reviewing claims submitted by home health agencies to determine the accuracy of the billing codes and to identify miscoding patterns; - Determining whether payment methods for home health agencies should be adjusted by reviewing the home health agency cost data and profitability trends; - Reviewing CMS' role and procedure in ensuring HHA submits accurate OASIS data; - Reviewing… [read post]
1 Sep 2022, 5:05 pm
., a manufacturer of durable medical equipment (DME) based in Pittsburgh, Pennsylvania, has agreed to pay over $24 million to resolve False Claims Act allegations that it misled federal health care programs by paying kickbacks to DME suppliers. [read post]
11 Mar 2010, 10:23 am
(Lily Orthopedic), which also provided DMEs to Medicare beneficiaries in Miami. [read post]
27 Jan 2012, 10:19 am
The DME MAC will notify the supplier when payment has been made. [read post]
19 Apr 2010, 12:42 pm
Specifically, in order to be covered under Medicare: (1) a face-to-face encounter between a patient and the ordering physician is required before DME or home health services are ordered (effective for services ordered or certifications made after January 1, 2010 for home health services and the date of enactment for DME); (2) the ordering physician must maintain and provide to DHHS as requested, documentation concerning orders or referrals for DME or home health… [read post]
30 Nov 2010, 9:41 pm
KO began billing Medicare for fraudulent DME in 2007, according to court documents. [read post]
16 Jun 2010, 1:48 pm
Canadian Pacific Railway Corporation (CPR), along with its indirect subsidiary Soo Line Holding Company (Soo Holding), and Dakota, Minnesota & Eastern Railroad Corporation (DME), along with its subsidiary Iowa, Chicago & Eastern Railroad Corporation (ICE), (collectively Applicants) applied to the Surface Transportation Board (STB or Board) for approval of a merger in which Soo Holding (and indirectly CPR) was to acquire DME and ICE. [read post]
16 Jun 2016, 7:17 am
Respironics allegedly provided DME companies with call center services to meet their patients’ resupply needs at no charge as long as the patients were using masks that Respironics manufactured; otherwise, the DME companies would have to pay a monthly fee based on the number of patients who used masks manufactured by a competitor of Respironics. [read post]
1 Oct 2019, 3:42 am
In addition, Montgomery and Davis took a number of steps to conceal their illegal agreement, including making kickback payments through a nominee, creating and filing false tax documents, and, for Davis, intervening as CEO to prevent the owners of CPS from obtaining their own Medicare DME supplier numbers that would have allowed CPS to bill for its own Medicare DME orders. [read post]
6 May 2021, 6:07 am
The two individual NPs pled guilty to conspiracy to commit healthcare fraud through their involvement in a plan related to DME, specifically braces used in orthotics. [read post]
18 May 2016, 1:13 pm
Gibran Ameer, has been employed by different DME companies. [read post]
1 Nov 2019, 3:47 pm
The Centers for Medicare & Medicaid Services (CMS) has adopted — with limited changes — its controversial plan to rewrite Medicare pricing rules for new items of durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) as part of its annual DMEPOS policy update for calendar year (CY) 2020. [read post]
