Search for: "dme"
Results 481 - 500
of 550
Sorted by Relevance
|
Sort by Date
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]
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]
4 Jul 2016, 8:31 am
CMS also requests comments on a series of issues related to timely access to DME benefits for individuals dually eligible for Medicare and Medicaid. [read post]
11 Oct 2011, 6:40 am
Among other things, the changes would allow pharmacies enrolled in the Medicaid Vendor Drug Program to provide a limited set of basic home health supplies commonly found in pharmacies without requiring enrollment as a DME provider. [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]
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]
10 Sep 2017, 10:43 pm
Unlike drugs that market directly to the public, which causes patients to ask their doctor for a specific drug rather the doctor making the recommendation, there is still not much direct marketing to patients with respect to artificial joints such as knees and hips and other 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]
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]
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]
16 Feb 2012, 4:37 am
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services such as home health care, physical and occupational therapy, mental health services, psychotherapy and durable medical equipment (DME). [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]
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]
30 Oct 2009, 12:06 pm
Friedman was done with the DME doctor in the trial transcript, exchanges like this were occurring frequently: Q: All right. [read post]
19 May 2019, 2:30 pm
In parallel with the Department’s criminal actions, the Center for Medicare Services, Center for Program Integrity (CMS/CPI) simultaneously took adverse administrative action against 130 DME companies that had submitted over $1.7 billion in claims and were paid over $900 million. [read post]
30 Oct 2015, 6:31 pm
Home Health Care, Durable Medical Equipment, False Billing, Unnecessary Testing The kind of health care frauds and associated conspiracies targeted by the MSF include, but are not necessarily limited to: Claims made for durable medical equipment (DME) supplies, such as power wheelchairs and orthotics; “Compound” medications for use with DME supplies, such as inhalers and nebulizers; HIV infusion clinics; Enteral nutrition and feeding supplies;… [read post]
23 Jun 2016, 7:03 am
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services, including home health care, psychotherapy, physical and occupational therapy, durable medical equipment (DME) and prescription drugs. [read post]
11 Apr 2016, 6:38 am
DME Interactive Holdings, Inc., 00 Civ. 4753 (LTS) (KNF), 2006 U.S. [read post]
6 May 2013, 6:00 am
The most popular workers compensation abbreviations include: AWW Average weekly wage – the average earnings of an employee based on a set number of weeks (or months) prior to the injury C Claimant – the injured employee Clmt: Claimant CMS: Centers for Medicare and Medicaid Services – the federal government agency that oversees the Medicare and Medicaid programs CMS: Claim management system – within context, the… [read post]
13 Mar 2018, 6:30 am
During her tenure as chief operating officer, many new service offerings were developed, including: the BOLD® Network, a unique, 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… [read post]
