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27 Mar 2015, 9:19 am
Today CMS published a notice updating the Healthcare Common Procedure Coding System (HCPCS) codes on the Durable Medical Equipment (DME) List of “Specified Covered Items” that require a face-to-face encounter and a written order prior to delivery (although CMS still is delaying enforcement of the face-to-face examination – but not the detailed written order – requirement). [read post]
17 Feb 2010, 12:25 pm
Specifically, the OIG stated that it "has also been made aware of instances when DME suppliers, notwithstanding the clear statutory prohibition, contact Medicare beneficiaries by telephone based solely on treating physicians’ preliminary written or verbal orders prescribing DME for the beneficiaries. [read post]
2 Nov 2009, 7:58 am
Curtis been an injured worker, the IME/DME doctors would have said there is nothing wrong with him, and he can return to unrestricted work. [read post]
2 May 2016, 8:49 am
Further, if a DME supplier selects the KX modifier, the Medicare contractor automatically processes the claim. [read post]
24 Feb 2012, 9:37 am
One judge on the Nebraska workers compensation court refers to IMEs as DMEs — Defense Medical Examinations. [read post]
2 Aug 2010, 1:53 pm
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]
26 Mar 2012, 12:55 pm
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]
29 Mar 2016, 7:55 am
Ameer worked for various DME suppliers. [read post]
4 Oct 2010, 10:10 pm
., a purported DME supplier based in Baker, La. [read post]
20 Jan 2010, 9:39 pm
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]
7 Jul 2014, 1:02 pm
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]
CMS Announces Temporary Fee Schedule Increase for Certain Medical Equipment Furnished in Rural Areas
11 May 2018, 1:09 pm
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]
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 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]
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]
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]
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 from Medicare contractors and on notices of termination of Medicare billing privileges. [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]
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]
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]
