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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]
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]
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 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]
15 Sep 2010, 9:47 am
Requesting a driver be placed in the DME program may not be done anonymously. [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]
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]
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]
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]
9 Feb 2012, 3:07 pm
Aslanyan also used the fraudulent prescriptions and documents to submit false claims to Medicare through his own fraudulent DME supply companies, Vila Medical Supply Inc. and Blanc Medical Supplies.Mr. [read post]
23 Jan 2017, 8:56 am
Durable Medical Equipment: A North Carolina owner of a DME supplier was ordered to pay $2.6 million in restitution (and sentenced to 3.5 years) in connection with an alleged Medicare fraud scheme involving sham DME companies and purchased lists of individually identifying health information, which were then used to submit false claims. [read post]
19 Jan 2021, 9:26 am
Kickbacks were paid to physicians, labs, specialty practice groups and durable medical equipment (DME) suppliers by durable medical equipment (DME) manufacturers, hospitals, and lab companies. [read post]
27 Apr 2008, 6:24 am
In Fair Price, the 2nd Department upheld the lower court's ruling that fraudulent no-fault billings (DMEs never delivered or supplied) is not a lack of coverage defense and, thus, must be included in a timely NF-10. [read post]
28 Jun 2010, 9:24 am
In this Part II, we will look at how physicians, home health, hospice, and durable medical equipment (DME) suppliers can prepare for and respond to RAC audits. [read post]
23 Jan 2017, 8:56 am
Durable Medical Equipment: A North Carolina owner of a DME supplier was ordered to pay $2.6 million in restitution (and sentenced to 3.5 years) in connection with an alleged Medicare fraud scheme involving sham DME companies and purchased lists of individually identifying health information, which were then used to submit false claims. [read post]
20 Jan 2010, 2:38 pm
It is generally accepted that at least one DME will be ordered by the Court if requested in a typical personal injury claim. [read post]
17 Jun 2010, 10:39 am
Specialty networks – Broadspire also contracts with special networks that concentrate on workers’ compensation needs such as durable medical equipment (DME) and physical therapy. [read post]
8 Apr 2011, 9:23 am
The Court of Appeals further found that because the defendant was a DME supplier, he was in a “relationship of trust” with Medicare/Medicaid. [read post]
