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15 Jan 2010, 6:06 am
Generally, Durable Medical Equipment ("DME") suppliers are statutorily prohibited from telemarketing Medicare beneficiaries regarding furnishing a covered item. [read post]
16 Dec 2024, 5:00 am
.), the Pennsylvania Superior Court addressed the standard for determining whether good cause exist to compel the Plaintiff to cooperate with a request for a medical examination, that is, an IME or a DME depending on what you call it, under Pa. [read post]
14 Jan 2015, 7:37 am
The purpose of this contract will be to identify improper Medicare payments for durable medical equipment (DME), orthotics, prosthetics, and supplies and home health/hospice (HH/H) claims and work with CMS and the DME and HH/H MACs to adjust claims to recoup overpayments and pay underpayments. [read post]
27 Jul 2012, 2:45 pm
If you are in the business of selling medical supplies, such as wheelchairs and other durable medical equipment (DME), you may liable for charges of Medicaid or Medicare fraud if you fraudulently bill for the equipment you supply. [read post]
9 Jun 2022, 6:55 am
DME has contested the fine. [read post]
14 Aug 2010, 8:00 am
It may be necessary to contact other personnel who can access the DME and make arrangements to preserve the data. [read post]
10 Jul 2012, 4:05 pm
In late June, federal agents arrested the owner and three former employees of RGV DME, a now-closed medical equipment supplier based in Pharr, Texas. [read post]
20 May 2015, 10:23 am
CMS is hosting a Special Open Door Forum call on May 27, 2015 to discuss eliminating the Certificate of Medical Necessity (CMN) and Durable Medical Equipment (DME) Information (DIF) forms. [read post]
4 Mar 2013, 2:17 am
., Board Certified by The Florida Bar in Health Law We have recently received numerous communications from health care professionals, including physicians, physical therapists, occupational therapists, mental health counselors, durable medical equipment (DME) … Continue reading → [read post]
10 Jul 2012, 12:06 pm
CMS explained that it added the face-to-face requirement for certain DMEs because, after empirical study, billed DMEs of the above four characteristics often failed to meet coverage criteria. [read post]
10 Jul 2012, 12:06 pm
CMS explained that it added the face-to-face requirement for certain DMEs because, after empirical study, billed DMEs of the above four characteristics often failed to meet coverage criteria. [read post]
27 Jan 2020, 5:38 pm
., a manufacturer of durable medical equipment (DME) based in San Diego, California, has agreed to pay more than $37.5 million to resolve alleged False Claims Act violations for paying kickbacks to DME suppliers, sleep labs and other health care providers, the Department of Justice announced today. [read post]
20 Dec 2016, 6:33 am
” On the other hand, four out of five beneficiary advocacy groups interviewed reported that their members experienced access issues related to competitive bidding (e.g., delays in delivery of CBP-covered DME items and trouble locating contract suppliers to provide specific DME items). [read post]
15 Dec 2007, 5:00 am
Ruiz owned and operated Solair Medical Corp., another fraudulent DME company. [read post]
17 Feb 2010, 12:25 pm
Specifically, the OIG stated that it "has also been made aware of instances when DME suppliers, notwithstanding the clear statutory prohibition, contact Medicare beneficiaries by telephone based solely on treating physicians’ preliminary written or verbal orders prescribing DME for the beneficiaries. [read post]
5 Apr 2024, 8:59 am
Richardson knew that these DME suppliers would use the signed orders to submit claims to Medicare for DME that was medically unnecessary, based on false documentation and tainted by kickbacks. [read post]
27 Mar 2015, 9:19 am
Today CMS published a notice updating the Healthcare Common Procedure Coding System (HCPCS) codes on the Durable Medical Equipment (DME) List of “Specified Covered Items” that require a face-to-face encounter and a written order prior to delivery (although CMS still is delaying enforcement of the face-to-face examination – but not the detailed written order – requirement). [read post]
27 Mar 2015, 9:19 am
Today CMS published a notice updating the Healthcare Common Procedure Coding System (HCPCS) codes on the Durable Medical Equipment (DME) List of “Specified Covered Items” that require a face-to-face encounter and a written order prior to delivery (although CMS still is delaying enforcement of the face-to-face examination – but not the detailed written order – requirement). [read post]
2 Nov 2009, 7:58 am
Curtis been an injured worker, the IME/DME doctors would have said there is nothing wrong with him, and he can return to unrestricted work. [read post]
2 May 2016, 8:49 am
Further, if a DME supplier selects the KX modifier, the Medicare contractor automatically processes the claim. [read post]
