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30 Jun 2008, 8:24 am
June's Coverage Counsel poll on the recoverability of 5106(a)-required payments for no-fault services or DMEs that can be proven to have never been rendered or delivered ends today. [read post]
29 Oct 2014, 10:00 am
., Board Certified by The Florida Bar in Health Law We are constantly consulted by and retained to represent physicians, medical groups, pharmacies, durable medical equipment (DME) distributors and other Medicare providers on issues relating to deficiencies from site visits and inspections by Medicare contractors and on notices of termination of Medicare billing privileges. [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]
27 Jan 2021, 5:55 am
Fox Rothschild LLP partner, William Maruca, was recently interviewed for an article in Cosmos regarding the regulatory risks to hospitals and DME suppliers who enter into arrangements to ensure that COVID-19 patients receive free home oxygen equipment. [read post]
2 Oct 2020, 6:23 am
The Department of Justice announced charges against 345 doctors, nurses, laboratories, pharmacies, DME companies, owners, and executives across the country this week with health care fraud. [read post]
13 Nov 2009, 9:41 am
I had a client indicted for fraud related to a DME. [read post]
25 Feb 2009, 10:28 pm
Med-Pro submitted $5.4 million in durable medical equipment (DME) claims during 2005 and 2006, and were paid approximately $1.3 million. [read post]
18 Jul 2011, 6:30 am
NEWARK, NEW JERSEY (JULY 18, 2011) - A Franklin Park man who owned Pro Medical Equipment Supply, a provider of durable medical equipment (DME), was indicted on one count of health care fraud and one count of making false statements in false claims to Medicare. [read post]
3 Oct 2012, 10:00 am
Durable Medical Equipment Suppliers (DMES) protested the program because it requires the permission of a Medicare Administrative Contractor (MAC) prior to the delivery of a power wheelchair to the consumer. [read post]
6 Dec 2016, 4:20 pm
CMS has announced 2017 Medicare fee schedule rates for durable medical equipment (DME) prosthetic orthotics and supplies (DMEPOS) furnished in non-competitive bidding areas. [read post]
5 May 2009, 7:07 am
Telemarketers in Houston are pushing "Medicare approved arthritis kits" that are really an assortment of DME and prosthetic devices billed to Medicare individually. [read post]
23 Apr 2019, 2:28 pm
The Centers for Medicare & Medicaid Services (CMS) is expanding the types of durable medical equipment (DME), prosthetic, orthotics, supplies (DMEPOS) that are subject to Medicare prior authorization requirements on the basis of being “frequently subject to unnecessary utilization. [read post]
22 Jun 2016, 10:57 am
The legislation would be financed by accelerating implementation of a Consolidated Appropriations Act of 2015 provision that limits state Medicaid DME reimbursement amounts to the Medicare fee-for-service payment rates, including applicable competitive bidding rates. [read post]
20 Dec 2016, 6:38 am
As previously reported, CMS finalized regulations to require Medicare PA for certain durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) items that the agency characterizes as “frequently subject to unnecessary utilization. [read post]
3 Jul 2008, 8:44 am
Hence, prior IME (CME or DME) should be turned over to the other side. [read post]
3 Mar 2014, 6:13 am
Are there reasons that beneficiaries need to own expensive DME or enteral nutrition equipment rather than use such equipment as needed on a continuous monthly basis? [read post]
27 Jun 2011, 1:27 pm
In an unadjusted analysis, the 1-year incidence rate of DME in patients taking a TZD was 1.3%, compared with 0.2% for patients with no TZD exposure (odds ratio [OR] 5.7, 95% confidence interval [CI] 4.1–7.9, P [read post]
20 May 2022, 9:06 am
DME Construction Associates, a negligent NY contractor who is now also listed as a severe violator, was issued a $1.2 million fine by OSHA for 4 serious and 9 willful violations of safety rules. [read post]
1 Jul 2008, 2:59 pm
The results for our June poll are final. 63.3% (19) of the 30 of you who voted answered "yes" to the following question:With the Court of Appeals having affirmed Fair Price Medical, will insurers be able to counterclaim or sue and recover for 5106(a)-required payments of no-fault services or DMEs they can prove were not rendered or delivered? [read post]
4 Apr 2012, 7:10 am
After agreeing to a defense medical exam, we received a letter from defense counsel with a draft agreed upon order to be filed with the court agreeing to the DME. [read post]
