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28 Jun 2023, 1:17 am
A Defense Medical Examination [DME] is an adversarial proceeding. [read post]
20 Jan 2010, 5:57 pm
DME companies and their telemarketing providers should review their current practices in light of the Special Fraud Alert and tighten practices as necessary to comply with its guidance. [read post]
27 Jun 2011, 1:34 pm
The Officer of Inspector General (OIG) issued an advisory opinion addressing an existing and proposed contractual arrangement between a durable medical equipment (DME) supplier and independent diagnostic testing facilities (IDTFs). [read post]
27 Jun 2011, 1:34 pm
The Officer of Inspector General (OIG) issued an advisory opinion addressing an existing and proposed contractual arrangement between a durable medical equipment (DME) supplier and independent diagnostic testing facilities (IDTFs). [read post]
29 May 2017, 12:59 pm
The post New Billing Codes for Pre-admission Screening and Resident Review (PASSR) DME and Therapy Assessments. appeared first on Garlo Ward, P.C.. [read post]
11 Oct 2012, 6:51 am
DME suppliers should also be aware of other issues that appear in the Work Plan. [read post]
29 Aug 2013, 8:19 am
Emanuel was a DME supply company that sold, among other things, power wheelchairs and related supplies. [read post]
8 Jun 2010, 11:35 am
Effective July 6, 2010, physicians who have not enrolled in PECOS or opted out of Medicare will not be able to order or refer Medicare patients for home health services or DME. [read post]
15 Dec 2023, 6:56 am
A Texas man could serve more than 20 years in prison if convicted of health care fraud for his alleged role in a $60 million health care fraud, wire fraud, and kickback scheme involving the submission of false and fraudulent claims to Medicare for medically unnecessary durable medical equipment (DME), genetic tests, and foot bath […] [read post]
8 Jun 2010, 11:35 am
Effective July 6, 2010, physicians who have not enrolled in PECOS or opted out of Medicare will not be able to order or refer Medicare patients for home health services or DME. [read post]
19 Jul 2012, 1:44 pm
CMS also is proposing the use of a G-code, with an estimated rate of $15, to compensate a physician who documents a face-to-face encounter for the specified DME items. [read post]
3 Jul 2010, 10:35 am
If you file a negligence lawsuit in New York State, the defense is entitled to request a Defendant’s Medical Exam (DME). [read post]
19 Mar 2014, 8:06 am
The four Durable Medical Equipment (DME) Medicare Administrative Contractor (DME MAC) medical directors have issued a joint open letter to physicians warning about “various marketing schemes” perpetrated by DME suppliers. [read post]
17 Jan 2018, 5:00 am
Under any of these methods, if a state discovers that its payments for relevant DME items exceed the FFP limit, CMS directs that the overpayment must be returned to CMS. [read post]
18 Aug 2009, 7:05 am
In general, Stark prohibits physicians from "self-referring" for "designated health services," which include DME. [read post]
30 Jun 2012, 2:49 pm
A Baton Rouge, Louisiana judge is sending two area women to jail for their participation in a durable medical equipment (DME) health care fraud scheme. [read post]
10 Sep 2013, 8:09 am
By way of background, under CMS rules implementing section 6407 of the ACA, as a condition of payment for specified items of DME, a physician must have documented and communicated to the DME supplier that the physician or a physician assistant, a nurse practitioner, or a clinical nurse specialist has had a face-to-face encounter with the beneficiary within the six month period before the written order. [read post]
24 Jun 2015, 11:21 am
CMS is proposing to revise the coding used to describe miscellaneous durable medical equipment (DME). [read post]
13 Mar 2013, 12:25 am
The OIG recommends that CMS either (1) seek legislation requiring DME infusion drug payment to be based on ASP, or (2) include DME infusion drugs in the next round of the DMEPOS competitive bidding program. [read post]
24 Apr 2013, 1:48 pm
The new RAC contract period will run through 2018, and we suggest that all Medicare and Medicaid providers read through the modified RAC Statement of Work and also the new Statement of Work for DME, home health and hospice recovery auditors. [read post]
