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17 Mar 2015, 7:57 am
Yesterday the House of Representatives approved the following health policy bills: 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 obtain a $50,000-$100,000 bid surety bond for each competitive bidding area (CBA). [read post]
23 Apr 2012, 7:44 am
In this week’s edition, we take a look at the Bowles-Simpson deficit reduction plan, the CMS Durable Medical Equipment (DME) competitive bidding program, and more “unreasonable” rate increases by insurers. [read post]
28 May 2009, 3:55 pm
In a modification of the theme, the State of Florida Agency For Health Care Administration (AHCA) decided to conduct an auditing sweep of durable medical equipment (DME) providers in Bay County, Florida. [read post]
10 Nov 2009, 5:51 am
"In addition, the United States' investigation of similar conduct involving other DME (durable medical equipment) providers and nursing home chains is continuing. [read post]
20 Jan 2016, 7:29 am
On January 12, 2015, J and L Medical Services, LLC in Connecticut entered into a civil settlement agreement with the federal and state governments in which it will pay $600,000 to resolve allegations that it violated the federal and state False Claims Acts. [read post]
18 Jul 2011, 6:30 am
NEWARK, NEW JERSEY (JULY 18, 2011) - A Franklin Park man who owned Pro Medical Equipment Supply, a provider of durable medical equipment, was indicted on one count of health care fraud and one count of making false statements in false claims to Medicare. [read post]
31 Oct 2011, 8:05 am
Before being arrested, Ben Bane sold Bane Medical Services to another DME company for $21 million. [read post]
8 Feb 2016, 7:35 am
CMS explains that it is aligning the timing and scope of the Medicaid medical equipment face-to-face encounter requirements with the parallel rules for Medicare durable medical equipment (DME). [read post]
22 Oct 2011, 7:55 pm
Lauderdale and Miami, Florida, Robert Malove provides legal representation to doctors, medical clinics, hospitals, DME providers and other health care companies. [read post]
23 Apr 2012, 12:15 pm
CMS has issued Medicare Part D/Medicare Advantage rules (which permits MA plans to selectively contract for certain DME). [read post]
8 Feb 2016, 7:35 am
CMS explains that it is aligning the timing and scope of the Medicaid medical equipment face-to-face encounter requirements with the parallel rules for Medicare durable medical equipment (DME). [read post]
14 Jul 2011, 12:24 pm
Of that, $95 million were either not considered medically necessary or lacked sufficient documentation to justify the claim.A whopping 78% of claims submitted by Medicare DME (durable medical equipment) providers had records that did not match physician records for medical necessity.In other words, records submitted by DME suppliers indicated the motorized wheelchair was medically necessary but the doctor records did not agree with that assessment.In most of those cases physician… [read post]
9 Mar 2016, 10:17 am
Wheelchairs, like other Durable Medical Equipment (“DME”), are reimbursed by federal and state programs based upon certain criteria. [read post]
19 Jul 2010, 11:27 am
Four defendants were charged in Houston for their alleged roles in a $3 million scheme to submit fraudulent claims for durable medical equipment (DME). [read post]
25 Feb 2025, 6:17 am
The DME suppliers and pharmacies that paid illegal kickbacks in exchange for these doctors’ orders placed through DMERx billed Medicare and other insurers over $1 billion. [read post]
24 Mar 2016, 10:44 am
CMS proposes to exclude some categories of drugs, however, such as: contractor-priced drugs; influenza, pneumococcal pneumonia and hepatitis B vaccines; drugs infused with a covered item of DME (excluded during phase 1 only “so that DME policy can focus on issues related to DME and so that the model does not interfere with decisions related to the inclusion or exclusion of these drugs in DME competitive bidding”); separately billable… [read post]
19 Jan 2012, 12:28 pm
Furthermore, as seen on the attached chart (DME data), our efforts, along with the U.S. [read post]
16 Oct 2019, 6:47 am
He covered seven important aspects litigators can follow if they have a truck collision client with a brain injury: Getting Before and After WitnessesAlteration of Consciousness WitnessesBuild Up Your Clients Pre-Morbid IntelligenceDocument and Record ComplaintsIsolate the Defense Medical Examinations (DME)NeuroimagingAttack the Malingering Tests ThemselvesTo read Attorney Abraham’s full analysis, you can contact him directly here or you can subscribe online at AAJ’s trucking… [read post]
26 Sep 2016, 8:18 am
Following another Defense Medical Examination (DME, laughingly referred to officially as an “Independent” Medical Examination, where nothing is independent) with the same expert as in the prior litigation, the workers’ compensation insurance carrier filed another Petition for Termination in 2010. [read post]
22 Jul 2009, 5:00 am
In addition, with Miami 's immigrant community in mind, the legislature also now requires a $500,000 bond to be posted for any new or change of ownership for health care clinics, DME and home health providers. [read post]
