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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]
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]
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]
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]
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]
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]
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]
28 Jul 2008, 9:04 pm
Eligible products included: (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]
29 Oct 2023, 10:08 pm
Licensing requirements may not apply to personal DME sales on e-commerce sites, but local laws should be consulted just in case. [read post]
8 Sep 2011, 11:09 am
Hakopian and Khachatryan were the owners of Midvalley Medical Supply, a DME supply company in Van Nuys. [read post]
8 Sep 2011, 11:09 am
Hakopian and Khachatryan were the owners of Midvalley Medical Supply, a DME supply company in Van Nuys. [read post]
2 Nov 2011, 5:32 pm
Chances are the adjuster has already authorized the FNCM to select DME the patient needs at home. [read post]
2 May 2012, 3:05 am
In one case, two individuals allegedly billed Medicare for more than $8 million in fraudulent billing for DME. [read post]
9 Mar 2011, 11:56 pm
OIG and DOJ launched their Strike Force efforts in 2007 in south Florida to identify, investigate, and prosecute DME suppliers and infusion clinics suspected of Medicare fraud. [read post]
15 Aug 2010, 9:37 am
Thus, a physician who simply prescribes pain medications or other medications or DME that can be sold on the street can seemingly be implicated when he or she writes the prescription. [read post]
1 Dec 2009, 3:00 am
Generally speaking, one can't sue a doctor that does a medical-legal exam for the other side. [read post]
23 Apr 2012, 12:06 pm
The final rule is summarized after the jump.Among many other things, the April 12, 2012 final rule: Implements new statutory requirements, including codifying Affordable Care Act (ACA) provisions related to the Medicare Part D Coverage Gap Discount Program and comprehensive medication reviews for beneficiaries in long term care (LTC) settings; Allows CMS to terminate the contracts of MA and Part D plan sponsors that have failed to achieve at least a 3-star rating under CMS’s… [read post]
20 Jul 2008, 12:00 pm
It also contains important delays in the implementation of Medicare's competitive bidding program for Durable Medical Equipment (DME), and a critically important extension of the Medicare outpatient therapy cap exceptions process. [read post]
