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26 Mar 2012, 12:55 pm by eithurburn@getnicklaw.com
In an effort to drive down costs and fraud, Medicare has expanded a competitive bidding program for durable medical equipment ("DME") to include 91 of the nation’s largest health care markets. [read post]
24 Feb 2012, 9:37 am by Jon Rehm
One judge on the Nebraska workers compensation court refers to IMEs as DMEs — Defense Medical Examinations. [read post]
2 Aug 2010, 1:53 pm by The Health Law Partners
The charges are based on a variety of schemes including: physical therapy and occupational therapy schemes, home healthcare schemes, HIV infusion fraud schemes, and durable medical equipment (DME) schemes. [read post]
20 Jan 2010, 9:39 pm by Robert David Malove
The Office of Inspector General (OIG) has received credible information that some DME suppliers continue to use independent marketing firms to make unsolicited telephone calls to Medicare beneficiaries to market DME, notwithstanding the clear statutory prohibition. [read post]
5 Jun 2009, 2:09 pm
Although not specially cited by the FDA in the draft guidance, one ostensible reason for drug/DME industry's compliance concerns is the Supreme Court's recent decision in Wyeth v. [read post]
7 Jul 2014, 1:02 pm by Debra A. McCurdy
On July 2, 2014, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would make a series of significant changes to Medicare coverage and payment policies for durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS). [read post]
By way of background, the Affordable Care Act mandated that CMS use pricing information from the DME, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program (CBP) to adjust fee schedule amounts for items furnished in areas where the CBP is not implemented. [read post]
8 Sep 2016, 5:38 am by Debra A. McCurdy
CMS has identified errors in its July 2016 update to Medicare durable medical equipment (DME) prosthetic orthotics and supplies (DMEPOS) fee schedule amounts for certain items in non-competitive bidding areas. [read post]
17 Apr 2014, 12:15 pm
CMS has designated all newly enrolling home health agencies (HHA) and durable medical equipment (DME) suppliers as high risk. [read post]
23 Apr 2015, 11:00 pm
This is a panel presentation that focuses on issues associated with health care delivery outside of traditional settings: Partnering: Thinking Inside the Box - presented by David Edquist Involvement with ACOs – Cooperation and Competition in the New Marketplace - presented by John Hintz Retail Concepts in Home Care and DME - presented by Bill Jackson This presentation is the second program of a three-part series on the retailization of health care. [read post]
7 Jun 2008, 4:44 pm
The 57.1% of you who predicted that the Court of Appeals would affirm the Second Department's decision in Fair Price Medical were right.Take our new poll (to the right): given that affirmance, will insurers be permitted to counterclaim or sue and recover 5106(a)-required payments of no-fault services or DMEs they can prove were not actually rendered or delivered? [read post]
26 Jun 2009, 10:37 am
DME medical necessity reviews (complex reviews) will begin in Fiscal year 2010, while medical necessity reviews (complex reviews) are slated to begin in calendar year 2010.Visit the RAC web site for more inf [read post]
24 Feb 2014, 7:17 am by Debra A. McCurdy
The dates are as follows: May 20 & 21, 2014 -- Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents May 28, 2014 -- Supplies and Other June 3, 2014 -- Durable Medical Equipment (DME) and Accessories; and Orthotics and Prosthetics (O&P). [read post]
23 Apr 2015, 11:00 pm
This is a panel presentation that focuses on issues associated with health care delivery outside of traditional settings: Partnering: Thinking Inside the Box - presented by David Edquist Involvement with ACOs – Cooperation and Competition in the New Marketplace - presented by John Hintz Retail Concepts in Home Care and DME - presented by Bill Jackson This presentation is the second program of a three-part series on the retailization of health care. [read post]
26 Jun 2009, 10:37 am
DME medical necessity reviews (complex reviews) will begin in Fiscal year 2010, while medical necessity reviews (complex reviews) are slated to begin in calendar year 2010.Visit the RAC web site for more inf [read post]
4 Sep 2012, 7:24 am by JT
It seems that Progressive pushed this one at Civil Court and got hit hard on a DME provider’s appeal. [read post]
17 May 2009, 8:12 am
A new program is of regional bidding for DME suppliers is expected to begin in 2010. [read post]