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2 Feb 2018, 2:51 pm
The amendment to §19.2703 adds new definitions for CMWC, DME, HHSC, and therapy services. [read post]
27 Apr 2009, 10:00 pm
In a move targeted to increase health care fraud enforcement by the State of Florida, the Florida legislature has recently passed legislation containing a number of new fraud provisions, including: * elevating Medicaid fraud from a third degree felony to first, second and third degree felonies based upon dollar amounts of fraud and increasing fines to five times the amount of the fraud; * designating Miami-Dade County as a "health care fraud crisis area" and increasing the monitoring of… [read post]
1 Mar 2016, 7:55 am
Nursing facility providers must continue to bill all other PASRR durable medical equipment (DME) using the existing billing information provided below. [read post]
14 Sep 2015, 9:09 am
Long-term care providers that bill or plan to bill for even one acute care service (like DME) will need to submit a separate re-enrollment application for each TPI through TMHP. [read post]
24 Aug 2009, 8:57 pm
This article is about a criminal prosecution brought by the California AG over $678,000 in DME fraud. [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]
15 Sep 2015, 9:14 am
Long-term care providers that bill or plan to bill for even one acute care service (like DME) will need to submit a separate re-enrollment application for each TPI through TMHP. [read post]
10 Aug 2012, 8:42 am
If you are a recipient of a CBR for SNF Billing Practices, or are among the other provider types that have been identified to receive CBRs (e.g. cardiology services, ordering DME, physical therapists, chiropractors, ambulance, hospice, podiatry, and sleep studies), please contact an experienced healthcare attorney at Wachler & Associates at 248-544-0888 to discuss evaluating the CBR analysis and development of an appropriate compliance plan that will reduce audit risks. [read post]
5 Jul 2011, 6:30 am
Obot was owner and operator of Praise DME, a durable medical equipment company that collected $945,637 in false claims. [read post]
14 May 2012, 5:05 am
” At the hearing, the GAO issued a report reiterating its recommendations to minimize improper Medicare payments (such as using prepayment controls to identify potentially-improper DME claims and enhanced payment safeguards for physicians who use advanced imaging services) and improve oversight of Medicaid payments. [read post]
22 Feb 2011, 8:50 am
The obvious answer is, "'I have no idea," but so many of the DME docs just feel compelled to go all the way in to fight anything they perceive as progress for a plaintiff's lawyer. [read post]
7 Sep 2011, 10:04 pm
In Houston, two individuals were charged today with fraud schemes involving $62 million in false billings for home health care and DME. [read post]
18 Mar 2021, 3:43 am
Currently, there are 12 MAC’s and four DME MAC’s. [read post]
10 Jun 2009, 8:38 am
Finally, in Texas, a Ihem Wilson and Theresa Peter allegedly owned and/or operated Access Medical Supply, "a DME company that billed Medicare for motorized wheelchairs" that often "provided less expensive motorized scooters. [read post]
17 May 2012, 10:51 am
Here is the standard stipulation letter for a defense medical exam: DME Ltr form k3.pdf Photo: Clip from the Preparing your Client for a DME Exam DVD 2012 Trial Guides. [read post]
18 Mar 2021, 3:43 am
Currently, there are 12 MAC’s and four DME MAC’s. [read post]
9 Nov 2017, 7:00 am
According to representatives for DME, they are hoping to be able to help shape the new single market push in the EU as well as address licensing and other issues that they are concerned about. [read post]
21 Jan 2013, 7:47 am
Shuckett’s report as well as the DME report from Dr. [read post]
29 Jan 2012, 8:41 am
For example, the indictment alleges one owner of a DME company paid kickbacks to Vasquez through a third-party—referred in the indictment as “Person A. [read post]
16 Aug 2010, 10:56 am
An investigation coordinated by the U.S. [read post]
