Search for: "Medicare, Medicaid & Medical Suppliers"
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22 Apr 2013, 3:06 am
The doctor fills out a lengthy prescription form and sends it to a scooter supplier that delivers the device to the patient and then submits the paperwork to Medicare for payment. [read post]
16 Apr 2013, 6:40 am
The OIG has issued reports on Medicare supplier surety bonds, private insurer reporting to the HealthCare.Gov plan finder portal, and the Medicaid Integrity Program. [read post]
3 Apr 2013, 11:47 am
The WCRG continues a series of Medicare legislative and regulatory compliance initiatives which also include the Medicare, Medicaid and SHIP Extension Act (MMSEA) and the Strengthening Medicare and Repaying Taxpayers Act (SMART Act). [read post]
13 Mar 2013, 6:14 am
“As providers and suppliers race to the bottom by offering increasingly valuable goods or services, the incentive to offset the cost of these inducements by cheating on the quality of the Medicare or Medicaid item or service increases proportionately. [read post]
21 Feb 2013, 6:31 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
12 Feb 2013, 6:41 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
24 Jan 2013, 6:52 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
15 Jan 2013, 6:59 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
14 Jan 2013, 7:55 am
Major Department of Health and Human Services (HHS) regulations are highlighted after the jump.An HHS Office of Inspector General (OIG) proposed rule that would add new/modify existing safe harbors under the anti-kickback statute; add new/revise existing regulations governing OIG's authority to impose civil money penalties and assessments; add new/revise existing regulations governing OIG's exclusion authority; and codify new exceptions to the beneficiary inducement prohibition (expected July… [read post]
3 Jan 2013, 6:31 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
29 Nov 2012, 11:31 am
While CMS reports that the error rate for most Medicare provider types was in the 4.8% – 9.9% range, durable medical equipment (DME) suppliers had a 66% improper payment rate. [read post]
21 Nov 2012, 12:26 pm
On November 1, 2012, the Centers for Medicare and Medicaid Services ("CMS") released a final Durable Medical Equipment ("DME") face-to-face policy. [read post]
13 Nov 2012, 2:05 pm
On November 1, 2012, the Centers for Medicare and Medicaid Services (CMS) published its final rule detailing the durable medical equipment (DME) face-to-face encounter requirements. [read post]
1 Nov 2012, 6:02 am
The Miami area is among the nation’s highest when it comes to the commission of Medicare fraud, particularly involving the areas of mental health, physical health, nursing homes, home health care, and durable medical equipment suppliers. [read post]
Proposed Settlement Agreement Filed in Federal Court Which Could Change SNF and Home Health Coverage
31 Oct 2012, 11:41 am
The proposed settlement, filed in October, includes provisions that would require the Centers for Medicare & Medicaid Services (CMS) to not only revise portions of the Medicare Manuals to clarify that an "improvement" requirement does not exist for medically necessary home health services, but to also educate Medicare contractors and other reviewers on the appropriate standards to apply when reviewing home health services. [read post]
23 Oct 2012, 3:52 am
Where Medicare and Medicaid patients or billings may be involved, the risks of criminal prosecution and very large monetary penalties are much greater. [read post]
13 Oct 2012, 5:32 pm
OIG is concerned that the theft and misuse of medical identifying information, such as beneficiary numbers and provider or supplier numbers, could be used to fraudulently obtain or bill for medical services or supplies. [read post]
11 Oct 2012, 6:51 am
Medicare has a series of quality standards to which medical equipment suppliers must comply. [read post]
10 Oct 2012, 11:49 am
They also represent DME suppliers, physicians, medical groups, nursing homes, home health agencies, pharmacies, hospitals and other healthcare providers and institutions in Medicare and Medicaid investigations, audits, recovery actions, termination from the Medicare or Medicaid Program and administrative hearings. [read post]
3 Oct 2012, 10:00 am
Durable Medical Equipment Suppliers (DMES) protested the program because it requires the permission of a Medicare Administrative Contractor (MAC) prior to the delivery of a power wheelchair to the consumer. [read post]
