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14 Feb 2012, 11:13 am
The "submitter" will submit to DME MAC a request for prior authorization and all relevant documentation to support Medicare coverage of the PMD item. [read post]
17 Jul 2012, 8:14 am
Of the 903,372 claims that the RACs alleged were overpaid, 197,739 or 21.8% came from Part A providers, 410,208 or 45.4% were submitted by Part B providers and 295,425 or 32.8% originated with DME providers. [read post]
15 Feb 2012, 3:35 am
., Louisiana-based companies that fraudulently billed DME to the Medicare program from 2004 to 2009. [read post]
1 Sep 2022, 6:06 am
When the DME physician opined that the injured worker had fully recovered, the insurance company filed a Petition for Termination. [read post]
7 Dec 2023, 8:45 am
Parties in any affected cases received an audit trail of deleted videos, which was uploaded to DallasCountyProsecutor (DCP, formerly known as TechShare Prosecutor) by DPD’s DME Unit. [read post]
20 Jun 2011, 2:41 pm
Preferred Plus maintained a valid Medicare provider number in order to submit Medicare claims for the costs of durable medical equipment (DME) and purported to provide orthotics and other DME to Medicare beneficiaries. [read post]
14 Mar 2019, 11:43 am
Also, while DME can be an appealing investment, there are significant regulatory compliance issues to understand with regards to DME relationships. 2. [read post]
9 Mar 2009, 12:04 am
Only deal with pharmacies, DMEs and other entities who have an excellent reputation and can be trusted with patient identification. [read post]
12 Aug 2010, 4:00 pm
The goal of this document is to guide the investigator through Best Practices to ensure that best evidence is the target of DME acquisition and that the integrity of the original data is maintained. [read post]
13 Sep 2016, 5:20 am
The OIG recommends that CMS seek a legislative change to base payments for DME infusion drugs on ASP; alternatively, CMS could use its existing authority to include DME infusion drugs in the competitive bidding program. [read post]
22 Jun 2011, 2:53 pm
STK maintained a Medicare provider number in order to submit Medicare claims for the costs of durable medical equipment (DME) and purported to provide orthotics, power wheelchairs, power wheelchair accessories and other DME to Medicare beneficiaries. [read post]
20 Jun 2011, 2:41 pm
Preferred Plus maintained a valid Medicare provider number in order to submit Medicare claims for the costs of durable medical equipment (DME) and purported to provide orthotics and other DME to Medicare beneficiaries. [read post]
11 Mar 2008, 7:00 am
Nieto and Moreno were co-owners of the other two DME companies. [read post]
9 Oct 2010, 9:39 am
The second phase is for those DMEs where there was illegal marketing and a lack of medical necessity. [read post]
25 Feb 2016, 3:45 pm
DME QIC Demonstration Launched January 2016. [read post]
4 Oct 2012, 1:07 pm
The joint press release by the Department of Justice and Department of Health and Human Services announced that "in Miami, a total of 33 defendants are charged for their alleged participation in various fraud schemes involving a total of $204.5 million in false billings for home health care, mental health services, occupational and physical therapy, and DME. [read post]
16 Apr 2015, 2:42 pm
Finally, MACRA includes a number of policy provisions, including: new program integrity policies; a binding bid requirement under the durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program; an additional delay in enforcement of the “two midnight” hospital inpatient status policy; and revisions to payment for global surgical packages. [read post]
30 Sep 2013, 3:08 pm
The Medicare Durable Medical Equipment (DME) data obtained for this report span from dates of service beginning January 1, 2012 through December 31, 2012. [read post]
8 Mar 2013, 1:55 pm
They may have the driver and their doctor fill out a Driver Medical Evaluation, or DME. [read post]
14 Nov 2013, 2:36 am
CMS has announced the names of 282 suppliers that have been awarded 3-year contracts under the Medicare DME, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program “Round 1 Recompete. [read post]
