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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]
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]
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]
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]
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]
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]
25 Feb 2012, 8:16 am
., a durable medical equipment (DME) company. [read post]
23 Nov 2015, 4:13 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]
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]
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
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]
17 Sep 2013, 6:50 am
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]
29 Jul 2013, 6:20 pm
CMS also has proposed updates to durable medical equipment (DME), prosthetics, orthotics, and supplies payment policies. [read post]
15 Apr 2011, 11:17 am
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]
