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14 Mar 2011, 10:07 am
The most common fraudulent acts are: - The billing of late charges by a hospital - False durable medical equipment claims (DME) - Behavioral health fraud - Medical identity theft - Billing for services, procedures and/or supplies that were never provided or performed - The condition treated or the diagnosis made - The charges for services, procedures and/or supplies provided or performed - The deliberate performance of medically unnecessary services for the purpose… [read post]
25 May 2017, 10:14 am
The reason for this is because, while a total knee replacement joint is considered durable medical equipment (DME), it is not expected to last forever. [read post]
30 May 2008, 3:09 pm
The court in this case said yes, such a follow-up request is timely.In dismissing the DME provider's action as premature, Richmond County NYC Civil Court Judge Katherine A. [read post]
22 Aug 2012, 8:05 am
Automated reviews conducted by the RACs typically focus on DME, physician and outpatient claims and do not require the production of additional records by the provider. [read post]
29 Jan 2014, 1:53 pm
Federal and state governments have recovered billions of dollars as a result of information provided by qui tam whistleblowers in healthcare fraud cases, whether the fraud is committed by hospitals, nursing homes, pharmaceutical companies, DME suppliers or physician practices. [read post]
4 Sep 2019, 10:03 am
Beyond improper coding and billing for ineligible services, telemedicine is susceptible to other types of fraud: Kickbacks – A $1.2 billion fraud case resulted in charges against five telemedicine companies that received illegal bribes from DME companies in exchange for referral of Medicare beneficiaries for unnecessary back, shoulder and wrist braces. [read post]
6 Aug 2022, 10:00 am
DME Corp., 2012 WL 13005955 (S.D. [read post]
2 Oct 2020, 10:14 am
Read More: Anti-Kickback Statute and Stark Law Fraud in Government Telehealth Programs Healthcare & Pharmaceutical Fraud Laboratory Fraud Medical Billing Fraud Medical Devices and DME Fraud Medically Unnecessary Services Pharmaceutical Fraud Think you have a whistleblower case? [read post]
12 Apr 2018, 8:48 am
Why Was My DME Company Included in this Review? [read post]
8 Oct 2009, 9:42 am
" The DME which was the subject of the $1,000 penalty was scheduled in coordination with my office. [read post]
8 Sep 2011, 5:11 am
Akinbile was the owner of Hallco Medical Supply, a DME company in Houston. [read post]
8 Sep 2011, 5:11 am
Akinbile was the owner of Hallco Medical Supply, a DME company in Houston. [read post]
14 Sep 2010, 8:44 am
Importantly, the OIG noted that the Requestor does not directly or indirectly dispense CPAP or any DME equipment to the Hospital or to any of the patients tested at the Hospital's managed lab. [read post]
30 Nov 2011, 4:38 pm
The physician prescribes unneeded and/or unnecessary durable medical equipment (DME). [read post]
13 Nov 2011, 10:48 am
A durable medical equipment (DME) formulary that applies the cost management principles of a pharmacy formulary to DME, meeting the medical needs of an injured worker while at the same time ensuring a measurable reduction in the cost of equipment and supplies. 4. [read post]
10 Oct 2012, 11:49 am
The attorneys of The Health Law Firm represent durable medical equipment (DME) suppliers and health care providers in Medicare audits, ZPIC audits, MAC audits and RAC audits throughout Florida and across the U.S. [read post]
19 Feb 2012, 5:01 pm
Selig (document D11) furthermore attested that the product designation T-126 was synonym to the designations Girdler T-126, DME-1; T-4021, CTR, CTR-Träger and DME/T-4021. [read post]
3 Feb 2015, 1:47 am
Modify documentation requirement for face-to-face encounters for durable medical equipment (DME), orthotics, prosthetics, and supplies (DMEPOS) to allow certain non-physician practitioners to document the face-to-face encounter (no budget impact). [read post]
15 Nov 2015, 3:04 pm
For the past five years, after the conviction of former Enron CEO Jeffrey Skilling was upheld at the U.S. [read post]
7 May 2025, 2:05 am
On April 14, 2025, the Seventh Circuit overturned the criminal conviction of Mark Sorensen, the owner of a durable medical equipment (DME) distributor, who had been found guilty of violating the AKS. [read post]
