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13 Mar 2019, 3:30 am
A budget summary explains that DME suppliers currently “can submit very low bids during the competition to win a Medicare contract and still get paid a higher price even though their low bid reduced prices for all other suppliers in the competition area. [read post]
3 Aug 2012, 7:52 am
Contact Health Law Attorneys Experienced in Handling Medicaid and Medicare Audits.The Health Law Firm's attorneys routinely represent physicians, medical groups, clinics, pharmacies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare investigations, audits and recovery actions.To contact The Health Law Firm please call (407) 331-6620 or (850) 439-1001 and visit our website at… [read post]
2 Mar 2016, 5:51 am
In many plaintiffs personal injury offices, these examinations are referred to as Defense Medical Examinations or “DME’s”. [read post]
11 May 2022, 3:12 pm
DME Corp., 2012 WL 13005955 (S.D. [read post]
17 Nov 2010, 10:01 am
Progressive Medical will be doing the heavy lifting of providing the PPO, PBM and DME interface and I suspect there must be some sort of revenue sharing agreement between the two firms although this has not been confirmed by any source. [read post]
8 Jun 2010, 9:35 am
While pharmaceutical companies already track samples for purposes of compliance with the PDMA sample tracking requirements, the Vermont requirement also applies to coupons and vouchers for free or discounted prescription products, OTC products and nonprescription devices and DME which are not currently tracked. [read post]
30 Dec 2011, 8:42 am
Beneficiary durable medical equipment ("DME") utilization Results The OIG found the following of the 352 portable x-ray suppliers in its population: • 20 (5.7%) suppliers met the criteria for identifying questionable billing patterns where the suppliers exceeded thresholds for questionable billing on at least two (2) individual characteristics as well as the threshold on the combined score (describing the suppliers' overall billing patterns) • Medicare paid… [read post]
27 Jun 2012, 9:50 am
The $19 million dollar life care plan provides for 24/7 in-home nursing, handicapped home and vehicle, numerous DME and supplies, and a cell phone - just to name some of the items that caught the court’s attention. [read post]
2 Oct 2008, 5:10 am
Nursing facility arrangements with clinical laboratories, DME suppliers, and ambulance providers are some examples of arrangements that may be prone to ‘‘swapping'' problems. [read post]
16 Jan 2020, 3:24 pm
Instead, ResMed is alleged to have violated the Anti-Kickback Statute through the following financial arrangements: ResMed provided DME companies with free call center support for their customers; ResMed provided sleep labs and physicians with free equipment, ranging from face masks to diagnostic equipment, as well as free installation and technical support; and, ResMed arranged for and guaranteed no-interest loans for the purchase of ResMed equipment. [read post]
19 Jul 2012, 6:35 am
If you find that you cannot do it on your own, or that there are serious deficiencies in record keeping, it is recommended that you reach out to an attorney with experience in Medicaid auditing to assist you in the process.Contact Health Law Attorneys Experienced in Handling Medicaid and Medicare Audits.The Health Law Firm's attorneys routinely represent physicians, medical groups, clinics, pharmacies, durable medical equipment (DME) suppliers, home health agencies, nursing… [read post]
1 Aug 2017, 6:30 am
DME specialist. [read post]
17 Dec 2015, 10:23 am
Section 503 would limit state Medicaid DME reimbursement amounts to the applicable Medicare fee-for-service payment rates, including applicable competitive bidding rates, beginning January 1, 2019. [read post]
2 Oct 2019, 11:25 am
The most common causes of a Medicare or Medicaid fraud investigation are: Phantom billing – billing for services that were never performed Submitting a claim for unnecessary medical services or medical equipment Submitting a claim for medical supplies, equipment, or services that were never ordered Submitting a claim of certification for medically unnecessary supplies Submitting a claim of certification for medically unnecessary services, like hospice or home health care Double billing… [read post]
2 Jun 2015, 1:55 pm
Durable medical equipment (DME) suppliers must bill Medicare accurately to ensure that taxpayer dollars are used only on individuals who truly need the equipment. [read post]
19 Jul 2012, 1:47 pm
Also, as discussed in the separate summary below, CMS is proposing to require a face-to-face evaluation as a condition of Medicare payment for certain types of durable medical equipment (DME). [read post]
4 Sep 2012, 7:41 am
The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicare and Medicaid investigations, audits and recovery actions. [read post]
24 Feb 2010, 6:55 am
Anwar stated: "On many occasions individuals were prescribed DME [Durable Medical Equipment] which were unnecessary because the individuals were either slightly injured or not injured at all. [read post]
7 Aug 2012, 1:54 pm
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]
13 Jul 2022, 2:10 pm
DME Corp., 2012 WL 13005955 (S.D. [read post]
