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23 Nov 2015, 4:13 pm by Debra A. McCurdy
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]
8 May 2008, 12:10 am
Existence of Agreements with DMEs Plaintiff also argued that there was evidence of agreements between Respironics and DMEs and/or outlets that restrained trade by locking in business and foreclosing competitors. [read post]
7 May 2008, 5:10 pm
Existence of Agreements with DMEs Plaintiff also argued that there was evidence of agreements between Respironics and DMEs and/or outlets that restrained trade by locking in business and foreclosing competitors. [read post]
17 Sep 2013, 6:50 am by Debra A. McCurdy
CMS has delayed enforcement of an ACA provision requiring a face-to-face encounter as a condition of Medicare payment for durable medical equipment (DME) items. [read post]
6 Nov 2012, 6:12 am
Most provisions of the rule will be effective January 1, 2013, but the DME provisions will be effective July 1, 2013.Click here for a complete copy of the Update. [read post]
17 Feb 2016, 6:46 am by Green and Associates
The latest one involves the former owner and operator (husband and wife) of a durable medical equipment (DME) supply company based in Long Beach, California. [read post]
29 Jul 2013, 6:20 pm by Debra A. McCurdy
CMS also has proposed updates to durable medical equipment (DME), prosthetics, orthotics, and supplies payment policies. [read post]
15 Apr 2011, 11:17 am by Green and Associates
  If you owned or worked at a DME where power wheelchairs were billed, you should consult counsel to determine if you have any exposure in these investigations. [read post]
28 Aug 2020, 12:15 pm by Conaway & Strickler, P.C.
In Operation Brace Yourself, DME and medical brace manufacturers were alleged to have paid “kickbacks” and “bribes” to doctors and nurse practitioners working with telemedicine companies for exchange for Medicare patient referrals for medically unnecessary braces. [read post]
12 Jan 2009, 7:44 am
It's a cold, cold Monday and time for the weekly round up of posts from my fellow New York law bloggers:Coverage Counsel: Court Rules that DME Provider's Illegal Billing Is Excused by No-Fault Insurer's Untimely Denial New York Criminal Defense Blog: CJI Charge on Robbery in the First Degree Fails to Alert Jury of Requirement of Actual Possession New York Federal Criminal Practice: EDNY Judge Finds Violation of Supervised Release in Sex Offender Case Where Defendant Refrained… [read post]
21 Jul 2015, 3:17 am by Debra A. McCurdy
On July 15, 2015, the House of Representatives approved by voice vote the following two bills: S. 984, “Steve Gleason Act of 2015” – a bill to cover as durable medical equipment eye tracking and gaze interaction accessories for speech generating devices furnished to individuals with a demonstrated medical need for such accessories; and S. 971, “Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015” – a bill to extend from a… [read post]
2 Feb 2024, 1:11 pm by Kailey Monsivais
Attorney for the District of South Carolina announced that Durable Medical Equipment (DME) companies Hill-Rom Holdings, Inc., Hill-Rom Company, Inc., Hill-Rom Services, Inc., and Advanced Respiratory Inc. [read post]
13 Aug 2010, 9:00 am
NOTE: The term Digital Multimedia Evidence (DME) used in this document refers specifically to multimedia evidence in a digital form. [read post]
26 Jun 2009, 9:01 am by afehn
-         Fiscal year 2010: DME Medical Necessity Reviews - complex review. [read post]
8 Sep 2023, 8:41 am by Kelly Shivery
Lincare, a durable medical equipment (“DME”) provider, will pay $29 million to settle a False Claims Act case filed in 2021. [read post]
11 Jan 2016, 3:00 am by Debra A. McCurdy
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to require Medicare prior authorization (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]
8 Apr 2014, 2:51 pm by Debra A. McCurdy
The total number of DME suppliers and Medicare allowed charges decreased more in CBAs than in the comparator areas. [read post]