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2 Nov 2011, 5:32 pm by Rebecca Shafer, J.D.
Chances are the adjuster has already authorized the FNCM to select DME the patient needs at home. [read post]
9 Mar 2011, 11:56 pm by Ben Vernia
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]
8 Sep 2011, 11:09 am by McNabb Associates, P.C.
Hakopian and Khachatryan were the owners of Midvalley Medical Supply, a DME supply company in Van Nuys. [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]
2 May 2012, 3:05 am by Ben Vernia
In one case, two individuals allegedly billed Medicare for more than $8 million in fraudulent billing for DME. [read post]
29 Oct 2023, 10:08 pm by Cari Rincker
Licensing requirements may not apply to personal DME sales on e-commerce sites, but local laws should be consulted just in case. [read post]
15 Aug 2010, 9:37 am by Green and Associates
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]
23 Apr 2012, 12:06 pm by Debra A. McCurdy
  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]
30 Apr 2008, 3:00 pm
If the DMEs had been received, would Travelers have paid for them? [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]
22 Mar 2021, 6:06 am by Wachler & Associates, P.C.
Designated health services include clinical laboratory services, PT and OT, DME, some imaging services, and several other services. [read post]
26 Jun 2007, 8:05 am
So let's get this straight: Defendant's lawyer sets a date for a DME, unilaterally by the way, just assuming the Plaintiff has no life and lots of time on her hands, for which the lawyer has not obtained a court order, and then files a motion to compel when she does not present for the medical examination. [read post]
16 Sep 2009, 9:23 am
WCAB (Workers' Compensation Appeal Board), the Independent Medical Examiner (IME, otherwise known as Defense Medical Examiner (DME)), released the injured worker to full time work. [read post]
8 Nov 2010, 1:01 pm by William Maruca
She also noted the feds’ efforts to control the costs of certain DME, citing the fact that Medicare currently pays three to four times the amount paid by commercial insurers for certain medical supplies. [read post]
30 Dec 2015, 1:56 pm by Debra A. McCurdy
It limits state Medicaid durable medical equipment (DME) reimbursement amounts to the applicable Medicare fee-for-service payment rates, including applicable competitive bidding rates, beginning January 1, 2019. [read post]
4 Nov 2010, 5:10 pm by The Health Law Partners
"Suspect characteristics" would include physician or hospital ownership in the Management Company or the manager's providing DME to the hospital, the hospital's patients, or to persons who obtained their sleep test at the hospital lab. [read post]
26 Jun 2007, 8:05 am
So let's get this straight: Defendant's lawyer sets a date for a DME, unilaterally by the way, just assuming the Plaintiff has no life and lots of time on her hands, for which the lawyer has not obtained a court order, and then files a motion to compel when she does not present for the medical examination. [read post]