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13 Feb 2020, 11:50 am
During phase one, which begins May 11, 2020, CMS will impose the PA requirement in one state in each of the DME Medicare Administrative Contractor jurisdictions (California, Michigan, Pennsylvania, and Texas). [read post]
18 May 2020, 8:48 am
In recent years, home health agencies, DME companies, therapy clinics, and laboratories have been targets for fraud investigations through extensive audits. [read post]
31 May 2018, 9:33 am
Broadly speaking, the Anti-Kickback statute prohibits hospitals, physicians, pharmacies, nursing homes, durable medical equipment (DME) companies, pharmaceutical (drug) companies, medical device manufacturers, and other medical providers from paying or receiving kickbacks, remuneration, or anything of value in exchange for referrals of patients who will receive treatment paid for by government healthcare programs such as Medicare and Medicaid. [read post]
15 Sep 2010, 9:47 am
Requesting a driver be placed in the DME program may not be done anonymously. [read post]
15 Dec 2009, 9:41 am
Two Brooklyn suspects are alleged to have billed Medicare for medically unnecessary durable medical equipment (DME), including expensive shoe inserts reserved for diabetics. [read post]
29 Jun 2017, 10:10 am
and the information letter details that the Health and Human Services Commission (HHSC) Intellectual and Developmental Disabilities (IDD) PASRR Unit will no longer be accepting the following paper forms: • 1017 Specialized Services Durable Medical Equipment (DME) Authorization Request; • 1018 Specialized Services Customized Manual Wheelchair (CMWC) Authorization Request; and • 2465 Specialized Services Request. [read post]
26 Feb 2010, 11:58 am
Logic World Medical, a Houston durable medical equipment (DME) company, used the names, addresses, and account numbers of Medicaid beneficiaries to routinely file false claims for payment for adult urinary incontinence supplies which were not delivered to the Medicaid beneficiaries. [read post]
22 Apr 2009, 5:40 pm
The program will provide California hospitals (including LTACHs), SNF’s, Rehabilitation Facilities, Home Health Agencies, DME Suppliers, and physicians with an opportunity to ask CMS officials and HealthDataInsights, Inc. questions regarding the RAC program. [read post]
4 Oct 2011, 7:00 am
" Finally, the Report also contains a number of other helpful appendices including tables breaking down improper payments by state; region/Recovery Auditor; and Medicare Part A, B, and DME claims. [read post]
13 Dec 2021, 11:44 am
They are also alleged to have produced large volumes of prescriptions for compounded medications and durable medical equipment (DME), according to the indictment. [read post]
26 Feb 2010, 11:58 am
Logic World Medical, a Houston durable medical equipment (DME) company, used the names, addresses, and account numbers of Medicaid beneficiaries to routinely file false claims for payment for adult urinary incontinence supplies which were not delivered to the Medicaid beneficiaries. [read post]
18 Jul 2008, 2:01 pm
If the President delays acting on the bill, or Congress is unable to override an expected veto, the physician payment cuts and DME competitive bidding program will go into effect, and the outpatient therapy caps exceptions process will continue to be expired (as of June 30, 2008). [read post]
28 Mar 2019, 12:20 pm
If that issue arises, the DMV may contact you and ask you to complete a “Form DS 326,” also known as a Driver Medical Evaluation form, or DME. [read post]
10 Mar 2022, 6:15 am
Designated health services include clinical laboratory services, PT and OT, DME, some imaging services, and several other services. [read post]
5 Sep 2017, 7:40 am
The Petition for Termination was based on a May 21, 2014 “Independent” Medical Examination (IME, though a more realistic term is Defense Medical Examination, or DME). [read post]
25 Sep 2020, 11:41 am
In the cases we have handled, orders for DME have NOT been issued to a supplier, pharmacy or testing laboratory selected by the patient. [read post]
25 Sep 2020, 11:41 am
In the cases we have handled, orders for DME have NOT been issued to a supplier, pharmacy or testing laboratory selected by the patient. [read post]
10 Jan 2008, 12:08 am
Eligible products include: (1) DME (including DME used with infusion and drugs, other than inhalation drugs) and supplies used in conjunction with DME; (2) enteral nutrients, equipment, and supplies; and (3) off-the-shelf orthotics. [read post]
7 Sep 2011, 4:42 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]
7 Sep 2011, 4:42 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]
