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26 Aug 2011, 11:34 am by Carlos Leyva
Attorney; Middle District of Florida President of DME Company Sentenced to 12 ½ Years for Medicare and Medicaid Fraud http://go.usa.gov/kmD _______________________________________________________________ August 25, 2011; Florida Attorney General Attorney General Bondi's Office Recovers More Than $26 Million from Pharmaceutical Company in Medicaid Fraud Settlement Plus two additional State Enforcement Action Updates http://go.usa.gov/kVB… [read post]
9 Jul 2021, 11:23 am by luiza
Read More: Healthcare & Pharmaceutical Fraud Medical Devices and DME Fraud Medicare Whistleblowers: The Most Common Questions Answered About Reporting Medicare Fraud I Think I Have a Whistleblower Case Contact Us Read Catch of the Week: Medical Device Companies to Pay $38.75M Over Defective Coagulation Monitor Allegations Linked to Patient Deaths, Injuries at constantinecannon.com [read post]
28 Apr 2010, 5:24 am by The Health Law Partners
Also, AC, MAC, CERT, PSC, and ZPIC reviewers shall accept as a valid order any drugs incident to DME, other than controlled substances, ordered through a qualified E-Prescribing system. [read post]
28 Jan 2008, 4:00 am
Among his credits has defended more than 60 Physicians, Health Care Delivery Corporations & Organizations, DME Distributors, Internet Pharmacies, Pharmacists, Pharmaceutical Manufacturers, and public officials on hospital regulatory boards throughout the nation. [read post]
4 Nov 2010, 6:10 pm
"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]
4 Jul 2016, 6:01 am by Kit Case
The way IME companies are seen as potential profit centers for private-equity firms is one of the many reasons that if an IME – Independent Medical Exam – or DME – Defense Medical Exam – is ordered for an injured worker, that injured worker should seek the advice of an experienced workers’ compensation lawyer. [read post]
10 May 2007, 5:00 am
"In one example, Eduardo Moreno, the owner of multiple DME companies, was arrested on April 7 after being named in a six-count indictment on fraud charges. [read post]
21 Feb 2007, 4:50 pm
  "Cripple Creep" sung to the tune of Up on Cripple Creek, by The Band (listen here for the song) When I get off of this gurney You know where I want to go Straight up the five line subway To Bronx Borough Medical Bronx Expert Radiology Little radiologist that I once knew And he told me just to come on by If there's anything he could do Up for DME he sends me If I spring a disc he mends me I don't have to speak my lawyer defends me An insurance dream… [read post]
11 Sep 2009, 12:27 am
. - DME company president arrested for health care fraud - The president of a Florida-based durable medical equipment company was arrested after being indicted for submitting approximately $3.6 million in fraudulent Medicare claims, the US announced on September 4. [read post]
29 Oct 2021, 10:12 am by luiza
Read More: Medical Devices and DME Fraud Medical Billing Fraud Sleep-Disorder Fraud $2.6 Million Whistleblower Settlement With Bay Sleep Clinic I Think I Have a Whistleblower Case Contact Us Read Catch of the Week: Fraudulent Sleep Tests in Fresno at constantinecannon.com [read post]
28 Sep 2023, 1:12 pm by luiza
Read More Healthcare & Pharmaceutical Fraud Medically Unnecessary Services Medical Devices and DME Fraud I Think I Have a Whistleblower Case Contact Us Confidentially Read Nurse Practitioner Convicted in $200 Million Medicare Fraud Scheme at constantinecannon.com [read post]
16 Jan 2014, 6:30 am by Michael B. Stack
These consist of outside Legal Counsel, IME marketers, former claims people turned salespeople for any type of DME-IME-SIU-TCM-NCM-VOC-MSA whatever service that just tell you what you want to hear in order to get some business from you. [read post]
25 Jul 2014, 1:41 pm by Debra A. McCurdy
Under this policy, the comprehensive APC payment would include all outpatient services, including diagnostic procedures, laboratory tests and other diagnostic tests, and treatments that assist in the delivery of the primary procedure; visits and evaluations performed in association with the procedure; services and supplies used during the service; outpatient department services delivered by therapists as part of the comprehensive service; durable medical equipment (DME), as well as… [read post]
10 Dec 2013, 11:15 am by Debra A. McCurdy
Under this policy, the comprehensive APC payment will include all outpatient services, including: diagnostic procedures, laboratory tests and other diagnostic tests, and treatments that assist in the delivery of the primary procedure; visits and evaluations performed in association with the procedure; coded and uncoded services and supplies used during the service; outpatient department services delivered by therapists as part of the comprehensive service; durable medical equipment (DME),… [read post]
20 Nov 2014, 4:15 am by Debra A. McCurdy
The C-APC payment will include: all outpatient services, including diagnostic procedures, laboratory and other diagnostic tests, and treatments that assist in the delivery of the primary procedure; visits and evaluations performed in association with the procedure; services and supplies used during the service; outpatient department services delivered by therapists as part of the comprehensive service; durable medical equipment (DME), as well as prosthetic and orthotic items and supplies… [read post]
12 Aug 2018, 1:36 pm by Green and Associates
The next court appearance is August 16, 2018.Attorney Commentary On This Use of Labor Code Section 139.3 As Basis for Fraud and Perjury Charges:California Labor Code Section 139.3 provides that it is unlawful for a physician to refer workers' compensation patients to a surgery center, laboratory and other services (physical therapy, diagnostic services, DME, etc.) [read post]
4 Aug 2021, 9:24 am by anne
  In fact, Medicare beneficiaries are only eligible to seek reimbursement for a new meter once every five years, and Medicare only pays for DME that is reasonable and necessary. [read post]
30 Sep 2019, 2:08 pm by Robert Liles
If the MAC or DME MAC should have denied a claim or paid the claim at a different amount, the claim is considered to be an improper payment. [read post]