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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]
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]
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]
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]
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]
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]
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]
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]
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]
13 Jul 2012, 10:00 am
These include home health agencies (HHAs), independent diagnostic testing facilities (IDTFs), ambulance and emergency transport providers, physicians, pharmacies, durable medical equipment (DME) providers, medical groups, physical therapists and therapy providers. [read post]
18 Oct 2012, 10:00 am
The recruiter supplied the information to a durable medical equipment (DME) company.... [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]
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]
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]
11 Apr 2022, 10:00 am
The federal indictment alleges that between January 2020 and July 2021, the defendants referred Medicare beneficiaries for unnecessary medical genetic tests and durable medical equipment (DME).... [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]
