Search for: "dme"
Results 481 - 500
of 537
Sorted by Relevance
|
Sort by Date
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]
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]
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]
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]
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]
5 Feb 2019, 6:30 am
An expert on durable medical equipment (DME) should be involved in the settlement process to provide expertise on when, where and how much money will be needed. [read post]
22 Feb 2011, 1:10 am
To offset that price tag, the budget advocates a variety of steps, such as eliminating graduate medical education (GME) payments for children’s hospitals and implementing new Medicare program integrity initiatives.In addition, the President’s budget includes a proposed expansion of the influence of the Medicare durable medical equipment (DME) competitive bidding program to Medicaid – an effort that the Administration believes will increase efficiency and save money, but… [read post]
29 Dec 2010, 9:34 am
Our attorneys have represented Home Health Agencies, Hospice Companies, Ambulance Companies, Chiropractic Clinics, Physical / Occupational / Speech Therapy Clinics, Nursing Homes, Physian Practices (E/M Claims), Psychology Practices, DME Companies and a wide variety of other Medicare Part A and Part B providers. [read post]
2 Jul 2010, 7:12 am
As we discussed in Part I of this series, while small providers were largely ignored during the demonstration program, physicians, home health, hospice, and durable medical equipment (DME) suppliers should be on the lookout for increased attention. [read post]
1 Mar 2009, 1:23 am
" It is not enough for a provider to know that he or she is not paying marketing or kickbacks -- since their practice or business can be jeopardized by providing services to these patients.We have seen "beneficiary detail reports" on patients that showed the patients going to their "real doctor" every several months for the serious medical conditions and then going to a different provider each month with a different complaint or diagnosis and then being referred to a… [read post]
2 May 2011, 12:11 pm
Online source information that can assist you: ICD-9 Codes:http://icd9cm.chrisendres.com/icd9cm/index.php CPT Codes: http://www.myhealthscore.com/consumer/phyoutcptsearch.htm DME Codes: http://www.dmepdac.com/dmecsapp/do/search Medicare Covered Services: http://www.medicare.gov/Publications/Pubs/pdf/10050.pdf Medicare Covered Drugs: http://broker.ghc.org/files/Shared/HealthPlans/GovernmentPrograms/GHC07Formulary.pdf [i] CMS Memorandum,… [read post]
16 Jul 2018, 4:12 am
CMS also proposes: adding payment classes for portable gaseous oxygen equipment, portable liquid oxygen equipment, and high flow portable liquid oxygen contents on a budget-neutral basis; establishing payment rules for certain ventilators that also perform the function of other items of DME; and including the Northern Mariana Islands in future rounds of competitive bidding. [read post]
14 Aug 2022, 5:34 pm
Starting July 1, 2023, the IRA will also limit to $35 the total monthly contribution by a Medicare Part B beneficiary for insulin purchased through a durable medical equipment (“DME”) supplier. [read post]
22 Jan 2012, 12:16 pm
So everything can look pretty good at the clinic but if someone is not paying attention to the prescriptions for potentially unnecessary ultrasounds, DME (expensive wheelchairs or beds) or drugs, the fraud may not be apparent to the physician. [read post]
4 Nov 2019, 11:51 am
According to CMS’ press release, home infusion therapy is “the administration of certain types of medication, through a durable medical equipment (DME) pump, in the patient’s home. [read post]
29 Jul 2017, 9:07 am
It is hard to know what it costs a patient with the hospitals routinely marking durable medical equipment (DME) way up, so the insurance company can than adjust them way down. [read post]
20 May 2009, 11:00 pm
---Firm Name: Dinsmore & ShohlArticle Title: Medicare DMEPOS competitive bidding program becomes effective April 18, 2009URL: [bit.ly]Will affect DME suppliers in ten selected cities (Cincinnati, Cleveland, Pittsburgh) and surrounding areasReplaces existing fee for service model with bids for competitively priced items in ten product categoriesNo effect on current Durable Medical Equipment (DMEPOS) suppliersMedicare is interested in input from DMEPOS suppliers impacted by the… [read post]
30 Aug 2012, 7:03 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, hospitals, 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… [read post]
12 Nov 2018, 9:53 am
There will be many things going on, such as preparing at home, the need for and type of pain medications after, and any DME that might be temporarily needed. [read post]
