Posts tagged with: "durable-medical-equipment-fraud"
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20 Apr 2015, 8:00 am
The first involves using provider identification to create the appearance that the provider ordered/referred patients for services like diagnostic testing, home-based care, or durable medical equipment. [read post]
20 Jun 2011, 2:41 pm
Preferred Plus maintained a valid Medicare provider number in order to submit Medicare claims for the costs of durable medical equipment (DME) and purported to provide orthotics and other DME to Medicare beneficiaries. [read post]
20 Jun 2011, 2:41 pm
Preferred Plus maintained a valid Medicare provider number in order to submit Medicare claims for the costs of durable medical equipment (DME) and purported to provide orthotics and other DME to Medicare beneficiaries. [read post]
28 May 2025, 6:41 am
Under the Stark Law, “referrals” are limited to specific types of medical services, such as lab testing, hospital services, prescription drugs, and durable medical equipment, defined as “designated health services. [read post]
22 Jan 2012, 12:16 pm
What the physician or physician assistant often do not know is that the manager also has ownership interest in other businesses related to the clinic: pharmacy, durable medical equipment, diagnostic company, etc. [read post]
24 Jun 2021, 2:29 pm
A nationwide telemedicine kickback scheme led to fraudulent Medicare reimbursements for durable medical equipment and genetic testing. [read post]
10 Jun 2009, 8:38 am
" The OIG report summarizes "notable enforcement actions" in its report including a hospice in Alabama, a medical transcription service provider in Massachusetts, a physician in California, and a durable medical equipment (hereinafter "DME") company in Texas. [read post]
16 Jan 2020, 3:24 pm
Sleep apnea equipment manufacturer ResMed agreed to pay $37.5 million to resolve allegations that it violated the False Claims Act and Anti-Kickback Statute by providing unlawful remuneration to durable medical equipment distributors, sleep labs, doctors, and other healthcare providers. [read post]
16 Feb 2024, 2:35 pm
., a durable medical equipment supplier with locations throughout the country. [read post]
16 Feb 2012, 4:37 am
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services such as home health care, physical and occupational therapy, mental health services, psychotherapy and durable medical equipment (DME). [read post]
22 Dec 2009, 12:50 pm
In Brooklyn, the two defendants are alleged to have billed Medicare for durable medical equipment, including expensive shoe inserts reserved for diabetes patients, when in fact much cheaper and over-the-counter shoe inserts were provided to beneficiaries who often didn’t need them. [read post]
22 Jun 2011, 2:53 pm
STK maintained a Medicare provider number in order to submit Medicare claims for the costs of durable medical equipment (DME) and purported to provide orthotics, power wheelchairs, power wheelchair accessories and other DME to Medicare beneficiaries. [read post]
1 Dec 2014, 10:30 am
The durable medical equipment provided by NAMS included oxygen equipment, positive airway pressure (“PAP”) equipment, including continuous positive airway pressure (“CPAP”), bi level CPAP, and Adept Servo Ventilation. [read post]
9 Mar 2009, 12:04 am
Unbeknownst to the physician, the clinic manager used the physician's name to order wheelchairs and other durable medical equipment. [read post]
17 May 2018, 6:30 am
Consider ways you can improve your use of nurse case managers, utilization reviews, pharmacy benefit managers, medical fee bill reviews, durable medical equipment, independent medical examinations and peer reviews. [read post]
24 Aug 2022, 5:10 pm
Those concerns stemmed from Medicare’s first forays into telehealth, such as offering coverage when providers prescribed durable medical equipment like braces without physical visits, which led to a bonanza of fraud. [read post]
9 Oct 2010, 9:39 am
On October 4, 2010, Sylvester Ijewere, 49, the owner and operator of Los Angeles durable medical equipment (DME) company Maydads Medical Supply, was sentenced to 46 months in prison by U.S. [read post]
20 Aug 2021, 10:41 am
Specifically, Harry is alleged to have solicited illegal kickbacks and bribes from durable medical equipment (DME) suppliers and marketers in exchange for orders involving DME braces and medications. [read post]
16 Mar 2010, 1:23 pm
Usually one of the defenses available to the DME (durable medical equipment company) is that they received a valid prescription or order form from the medical clinic and that they cannot refuse to fill a valid physician order which states that there is medical necessity. [read post]
6 Jul 2015, 8:46 am
Application of the Medicare average sales price plus six percent methodology to infusion drugs furnished through durable medical equipment (instead of 95 percent of the October 2003 average wholesale price). [read post]
