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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]
28 Jun 2016, 1:11 pm
As previously reported, the Affordable Care Act mandates that CMS use pricing information from competitive bidding to adjust DME fee schedule amounts for items furnished in areas where the CBP is not implemented. [read post]
7 Feb 2020, 1:26 pm
DME companies receiving funding, free services, or loans from ResMed to inflate the use of ResMed’s medical devices and services is a violation of the Anti-Kickback Statute. [read post]
29 Apr 2007, 2:27 pm
., a Miami durable medical equipment (DME) company. [read post]
12 Aug 2014, 8:24 am
” The bill covers a range of Medicare and Medicaid policies, from establishing new alternative sanctions for technical physician self-referral violations to providing more flexibility in meeting durable medical equipment (DME) documentation requirements. [read post]
15 Feb 2024, 12:37 pm
., a large durable medical equipment (“DME”) supplier with approximately 700 locations throughout the United States. [read post]
26 Feb 2015, 8:12 am
The meeting dates are as follows: May 7 & 8 -- Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents May 21 & 22 -- Supplies and Other May 27 -- Durable Medical Equipment (DME) and Accessories; and Orthotics and Prosthetics (O&P) Deadlines and instructions for speaker and general registration and submission of comments are set forth in a notice to be published tomorrow. [read post]
2 Nov 2012, 10:00 am
In February 2012, the defendant in this case pleaded guilty to owning and operating a fake durable medical equipment (DME) supply company, which he used to submit false claims to Medicare.... [read post]
13 Mar 2013, 4:46 am
Effective May 1, 2013, Medicare contractors will activate edits that will deny claims for Medicare Part B (including imaging and lab services), DME, and Part A home health agency (HHA) services if the ordering/referring physician or other professional is not identified, is not in Medicare's enrollment records, or is not of a specialty type that may order/refer the service/item being billed. [read post]
1 Mar 2012, 9:00 am
Medicare has been revoking the Medicare provider numbers of many different Medicare providers including physicians, medical groups, home health agencies (HHAs), pharmacies, and durable medical equipment (DME) providers, based on returned mail sent to old addresses which have not been updated or based on inspection team site visits to old addresses. [read post]
5 Jun 2012, 8:11 am
In their June newsletter, The Record, Blue Cross Blue Shield of Michigan (BCBSM) recommended that physicians "consult with their legal counsel periodically. [read post]
17 Jun 2010, 4:03 am
SEVENTEEN INDIVIDUALS CHARGED AND TWELVE LOCATIONS SEARCHED IN MAJOR HEALTH CARE FRAUD AND MONEY LAUNDERING PROSECUTION On June 15, 2010, United States Attorney Loretta E. [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]
28 May 2016, 8:14 am
• Acute Care (physicians, CORF/ORF, HHA, DME, medical supplies, SHARS, MAC) • Resource-based Fees: equal to Medicare Relative Value Unit (RVU) for the service multiplied by applicable Medicaid conversion factor. [read post]
13 Apr 2010, 7:50 am
Roland Asemota, billing manager and co-owner of Rose’s Medical Supply (RMS) in the New York area, was arrested and charged with one count of making false statements in connection with Medicare, federal healthcare benefit program. 95% of the medical supplies offered to seniors by RMS such as, Durable Medical Equipments (DME) and Power Mobility Devices, were paid by Medicare, part B program. [read post]
27 Oct 2009, 8:42 am
This past Sunday night, 60 Minutes ran an excellent exposé on the $60 billion Medicare Fraud crime wave sweeping the country. 60 Minutes correspondent Steve Kroft spent some time in Miami this past August with FBI Special Agent Brian Waterman getting an overview of how Medicare fraud is perpetrated by DME scammers. [read post]
27 Feb 2012, 12:20 pm
On February 13, 2012 DCS Healthcare added a new CMS approved issue to its approved issues list for DME supplier claims: • Knee orthosis bundling: Payments for knee orthoses additions, as specified in NHIC's LCD for knee orthoses, #L27263, are bundled into the payment for specific base knee orthoses, and should be recouped if paid separately. [read post]
30 Apr 2019, 11:15 am
which included C-level executives allegedly accepting illegal kickbacks and bribes from DME companies. [read post]
16 Mar 2020, 1:32 pm
Coronavirus Update – HHS & CMS Guidance, Directives and Waivers with Respect to Telemedicine, Provider Enrollment Regulations, Claim Appeals, the Suspension of Non-Emergency Survey Inspections, Nursing Homes, Home Health Agencies, Dialysis Facilities and DME Suppliers. [read post]
28 Oct 2010, 9:54 am
Fuquay’s network of Medicare beneficiaries and fraudulent DME supply companies was large enough for him to make approximately $220,000 in illegal recruiter fees.According to court documents, one of the fraudulent DME supply companies that paid Mr. [read post]
