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26 Mar 2019, 1:34 pm
Establishing a demonstration to test the use of a benefits manager for serial/refill DME claims. [read post]
2 May 2012, 1:23 pm
In one case, two individuals allegedly billed Medicare for more than $8 million in fraudulent billing for DME. [read post]
8 Nov 2023, 10:19 am
LexisNexis has selected some recently issued noteworthy IMR decisions that illustrate the criteria that must be met to obtain authorization for a variety of different medical treatment modalities. [read post]
4 Oct 2012, 10:30 pm
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services such as home health care, mental health services, psychotherapy, physical and occupational therapy, durable medical equipment (DME) and ambulance services. [read post]
7 May 2009, 3:19 am
KokenHot topics including significant issues which affect liability and damages in your auto case, including workers' compensation issues, Medicare Set-Asides, Social Security offsets, C&R agreements, and workers'compensation DME'sStatute of limitations and notice requirements in third party cases, UM/UIM claims, death cases, and municipal cases18 wheels and 2 Wheels: Some insights into non-automobile vehicle cases - The most current techniques to analyze and handle… [read post]
2 Aug 2018, 3:35 am
In the typical case, a fairer label would be “defense medical examination (“DME”).) [read post]
31 Jul 2023, 1:05 pm
., No. 2:18-cv-00254 (DME) The whistleblower was represented by Amy Easton of Phillips and Cohen and the whistleblower will receive approximately $3.8 million. [read post]
28 May 2025, 6:41 am
” Common schemes include: Hospitals, nursing homes, labs, dialysis centers, drug or DME companies offering referring doctors the opportunity to buy into businesses or other opportunities on favorable financial terms; Hospitals offering physicians below-market-rate rent for office space; and drug companies paying kickbacks to pharmacies (retail or specialty) to induce them to switch patients’ prescriptions; and medical device manufacturers offering incentives… [read post]
23 Aug 2012, 7:31 am
This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers (DMEs), medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other health care provider. [read post]
19 Mar 2015, 1:01 pm
Roadway Electric LLC Andes Engineering Dibble Engineering DME Consultants, LLC Geomatic Consulting Group J2 Engineering & Environmental Design, LLC Lee Engineering, LLC Michael Baker Jr., Inc. [read post]
21 Jul 2008, 5:47 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]
16 Feb 2024, 2:35 pm
In announcing the settlement, Damian Williams, US Attorney from the Southern District of New York, stressed the importance of billing government healthcare programs only for medically necessary services and products: When DME suppliers like Lincare knowingly seek federal funds for items that are not medically necessary and not being used, they threaten the sustainability and financial integrity of vital federal health care programs like Medicare and Medicaid. [read post]
15 Dec 2023, 12:03 pm
Class members who registered for the recall before September 7 and returned their devices to Philips or their durable medical equipment (DME) providers are entitled to automatic payments of settlement benefits and will not need to file a claim. [read post]
31 Jul 2023, 1:10 pm
., No. 2:18-cv-00254 (DME) The whistleblower was represented by Amy Easton of Phillips and Cohen and the whistleblower will receive approximately $3.8 million. [read post]
14 Apr 2009, 8:28 am
He refers to the exams as DMEs, or "defense medical exams," on his blog, the Atlanta Injury Law and Civil Litigation blog. [read post]
16 Dec 2011, 11:45 am
Third, they boisterously claim that they are not taking rebates from DME/PBM provider Progressive Medical (which of course is both unethical and illegal) nor are they pooling the funds for investment purposes (which is expensive from a SEC regulatory standpoint). [read post]
30 Dec 2009, 8:15 am
In the post, "NY Appellate Court Says OK to Sue No-Fault, Workers' Comp and DME Physicians," Eric explains this important change - a set of court-established criteria that make these "Doctors for the Defense" accountable for any bad advice or poor care they give the patients they see. [read post]
25 Mar 2012, 1:26 pm
Lisenbey oversaw the development of the BOLD® Network, a state-stratified, multi-tiered approach to a preferred provider organization (PPO) strategy; a durable medical equipment (DME) formulary that applies the cost management principles of a pharmacy formulary to medical equipment; and a new chronic pain protocol, a multidisciplinary approach to addressing the complex chronic pain conditions that drive the duration of workers compensation and disability claims. [read post]
13 Jul 2012, 8:01 am
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare investigations, audits and recovery actions.To… [read post]
10 Aug 2006, 9:44 pm
Spindel, Powers, Pyles, Sutter & Verville, P.C. 2005-2006 Long Term Care Year In ReviewCompiled by Health Lawyers' LongTerm Care Practice Group 2005-2006 Medical Staff, Credentialing, and Peer Review Year InReviewCompiled by Health Lawyers' Medical Staff, Credentialing, and PeerReview Practice Group Current Topics Corporate Governance GAO Releases Survey Results Of NonprofitHospitals' Executive Compensation Practices ERISA Eleventh Circuit Upholds Dismissal Of State Law Claims… [read post]
