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17 Jan 2018, 5:00 am
Under any of these methods, if a state discovers that its payments for relevant DME items exceed the FFP limit, CMS directs that the overpayment must be returned to CMS. [read post]
9 Nov 2017, 7:00 am
According to representatives for DME, they are hoping to be able to help shape the new single market push in the EU as well as address licensing and other issues that they are concerned about. [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]
18 Sep 2017, 9:37 am
Information Letter No. 17-20 – Addressed to Nursing Facility Providers on how to bill for Therapies, Customized Manual Wheel Chairs (CMWC) and Durable Medical Equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program at HHSC. [read post]
10 Sep 2017, 10:43 pm
Unlike drugs that market directly to the public, which causes patients to ask their doctor for a specific drug rather the doctor making the recommendation, there is still not much direct marketing to patients with respect to artificial joints such as knees and hips and other durable medical equipment (DME). [read post]
5 Sep 2017, 7:40 am
The Petition for Termination was based on a May 21, 2014 “Independent” Medical Examination (IME, though a more realistic term is Defense Medical Examination, or DME). [read post]
1 Aug 2017, 6:30 am
DME specialist. [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]
29 Jun 2017, 10:10 am
and the information letter details that the Health and Human Services Commission (HHSC) Intellectual and Developmental Disabilities (IDD) PASRR Unit will no longer be accepting the following paper forms: • 1017 Specialized Services Durable Medical Equipment (DME) Authorization Request; • 1018 Specialized Services Customized Manual Wheelchair (CMWC) Authorization Request; and • 2465 Specialized Services Request. [read post]
29 May 2017, 12:59 pm
The post New Billing Codes for Pre-admission Screening and Resident Review (PASSR) DME and Therapy Assessments. appeared first on Garlo Ward, P.C.. [read post]
25 May 2017, 10:14 am
The reason for this is because, while a total knee replacement joint is considered durable medical equipment (DME), it is not expected to last forever. [read post]
12 May 2017, 4:54 pm
U.S. agencies are warning U.S. businesses to batten down their cyber security defenses to guard against a WannaCry ransomware cybersecurity threat sweeping the Globe. [read post]
12 May 2017, 2:39 pm
U.S. agencies are warning U.S. businesses to batten down their cyber security defenses to guard against a WannaCry ransomware cybersecurity threat sweeping the Globe. [read post]
10 May 2017, 3:14 pm
Healthcare providers, health plans, healthcare clearinghouses and their business associates (Covered Entities) can’t disclose the name or other protected health care information about a patient in press releases or other announcements without prior authorization from the patient. [read post]
9 May 2017, 10:13 am
., doing business as Pacific Pulmonary Services, a DME based in California, has agreed to pay $11.4 million to resolve allegations against it and its general partner, Teijin Pharma USA LLC, to resolve a False Claims Act (qui tam) lawsuit filed in federal court in San Francisco. [read post]
6 May 2017, 12:57 pm
This is evidenced in two complex workers' compensation fraud cases, known as the Aspen Medical DME cases, which plead out on May 5, 2017 in Orange County Superior Court. [read post]
26 Apr 2017, 6:14 pm
A new Department of Health and Human Services Office of Civil Rights (OCR) CardioNet Resolution Agreement and Corrective Action Plan (Resolution Agreement) settling OCR charges of violations of the Privacy and Security Rules of the Health Insurance Portability & Accountability Act against remote cardiac monitoring provider CardioNet provides important lessons for health plans, health insurers telemedicine and other healthcare providers, healthcare clearinghouses (Covered… [read post]
24 Apr 2017, 5:08 pm
Health plans, their fiduciaries and sponsors, health insurers, health care providers, health care clearinghouses (“covered entities”) and their business associates must get and keep your business associate (BA) agreements (BAAs) in place, up- to-date, and readily available for inspection in accordance with the Health Insurance Portability & Accountability Act (HIPAA) Privacy Rule, 45 C.F.R. [read post]
12 Apr 2017, 9:35 pm
Stamer has worked closely with a diverse range of physicians, hospitals and healthcare systems, DME, Pharma, clinics, health care providers, managed care, insurance and other health care payers, quality assurance, credentialing, technical, research, public and private social and community organizations, and other health industry organizations and their management deal with governance; credentialing, patient relations and care; staffing, peer review, human resources and workforce performance… [read post]
23 Jan 2017, 8:56 am
Durable Medical Equipment: A North Carolina owner of a DME supplier was ordered to pay $2.6 million in restitution (and sentenced to 3.5 years) in connection with an alleged Medicare fraud scheme involving sham DME companies and purchased lists of individually identifying health information, which were then used to submit false claims. [read post]
