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3 Dec 2013, 2:19 pm
Reclassification of Routinely-Purchased DME. [read post]
5 Jul 2013, 3:52 pm
• Reclassification of Routinely-Purchased DME. [read post]
8 Feb 2019, 6:00 am
The LCDs outline the conditions under which DME MACs will pay suppliers for those braces. [read post]
22 Jun 2010, 7:42 am
It takes years for these cases to be investigated and prosecuted.A recent Los Angeles case involving a DME billing Medicare for power wheelchairs shows what type of investigations can end up in a criminal courtroom.Some DME companies mistakenly take the position that if there was a physician prescription and the wheelchair was delivered -- there can be no fraud case. [read post]
23 Apr 2012, 11:19 am
Based on a review of a sample of 2007 claims, the OIG estimates that a claims modifier intended to ensure that Medicare DME claims met coverage and documentation criteria failed to prevent payment of inappropriate claims totaling approximately $314 million. [read post]
1 Jun 2016, 10:25 am
It may have opened the doors to a flood of DME requests. [read post]
17 Oct 2024, 4:28 pm
Utilities like DME should encourage rooftop solar adoption, but DME is doing the opposite with its proposal. [read post]
20 Dec 2018, 6:30 am
A pre-arranged pricing agreement for the DME items listed above will reduce the cost of DME. [read post]
14 Aug 2023, 7:13 am
(emphasis applied) [8] The concerns noted in this blog post regarding mail or home delivery of DME to Medicare beneficiaries relate only to DME that such beneficiaries obtain from their physicians who also order the DME for the beneficiaries. [read post]
9 Oct 2009, 4:40 pm
The settlement resolves allegations that the company received kickbacks from McKesson Corp and its affiliate, MediNet Corp to purchase its DME - violating the Anti-Kickback Statute and the False Claims Act. [read post]
9 Oct 2009, 4:40 pm
The settlement resolves allegations that the company received kickbacks from McKesson Corp and its affiliate, MediNet Corp to purchase its DME - violating the Anti-Kickback Statute and the False Claims Act. [read post]
22 Oct 2009, 6:46 am
This case may be related to another DME health care fraud case, U.S. v. [read post]
28 Aug 2008, 8:18 pm
All-Med submitted $419,935,692.74 in fraudulent claims for DME purportedly provided to Medicare beneficiaries by 85 DME suppliers. [read post]
28 Feb 2011, 5:15 am
When identifying DME suppliers with a high volume of high utilization claims, enforcing the Medicare documentation requirements for claims for test strips and/or lancets, performing prepayment reviews of those suppliers, and referring those DME suppliers to the Office of Inspector General (OIG) or CMS for review or investigation. [read post]
23 Apr 2009, 1:58 pm
However, after a large number of indictments related to DME companies and with Medicare moving toward a bidding process for DME suppliers, the focus has been turning to the physicians who prescribe DME and the often expensive medications associated with respiratory illness. [read post]
29 Nov 2012, 11:31 am
While CMS reports that the error rate for most Medicare provider types was in the 4.8% – 9.9% range, durable medical equipment (DME) suppliers had a 66% improper payment rate. [read post]
5 Feb 2010, 6:10 am
First, elderly Medicare beneficiaries testified about how they were recruited into letting the DME company use their the scheme. [read post]
25 Feb 2010, 4:52 pm
Benjamin Essien, 34, owner and operator of Logic World Medical, a Houston-based durable medical equipment (DME) company, pled guilty to conspiracy to commit healthcare fraud, five counts of healthcare fraud and two counts of aggravated identity theft in the U.S. [read post]
12 Jul 2009, 10:57 pm
Based on those claims, Medicare paid the DME companies approximately $56 million. [read post]
10 Oct 2017, 3:07 pm
In accordance with Title 40, Part 1, Texas Administrative Code §19.2754(a), relating to Requesting Authorization to Provide Durable Medical Equipment and Customized Manual Wheelchairs, when a NF identifies a PASRR resident who requires DME or a CMWC, the NF must: • ensure a physical therapist or occupational therapist licensed in Texas assesses the designated resident for the DME or CMWC; • request authorization to provide the DME or CMWC through the Long… [read post]
