Posts tagged with: "durable-medical-equipment-fraud"
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5 Mar 2021, 6:57 am
The Effects Of The COVID-19 Pandemic On Small Businesses [SBA]Senate Intel Leaders File Legislation, Urge Senate Leadership to Extend Sec. 3610 of Cares Act [WarnerSenate]SAP Public Services, Inc. to Pay $2.2 Million to Settle False Claims Act Allegations [DOJ]It will be a while before the Trump era’s impact on contracting is gone [FedNewsNet]Subcontractor Agrees to Pay the United States $500k+ in Damages After Failing to Pay Prevailing Wages on VA Construction Project [DOJ]Independent… [read post]
12 Sep 2016, 5:06 am
CMS has announced the single payment amounts for Round 1 2017 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program. [read post]
9 Oct 2010, 2:30 pm
Among its consolidated duties, SafeGuard is responsible for handling medical reviews and benefit integrity functions for Medicare claims under both Part A and Part B (hospital, CMHCs, skilled nursing, home health, provider and durable medical equipment). [read post]
25 Feb 2012, 8:16 am
Oniha and his co-defendant Camillus Ehigie founded and began operating Prosperity Home Health Services Inc., a home health agency, and Caravan Medical Supplies Inc., a durable medical equipment (DME) company. [read post]
22 Sep 2009, 11:44 pm
Each count carries a maximum of ten years' imprisonment.According to the Indictment, in February, 2000, Rodriguez acquired Complete Medical Center, Inc., ("CMC") a Miami-based company that purportedly provided durable medical equipment ("DME") to Medicare beneficiaries. [read post]
16 Feb 2023, 9:30 am
Of that $2.2 billion, “over $1.7 billion related to matters that involved the health care industry, including drug and medical device manufacturers, durable medical equipment, home health and managed care providers, hospitals, pharmacies, hospice organizations, and physicians. [read post]
17 Sep 2012, 7:57 am
Some recent cases have involved durable medical equipment providers who billed Medicare and Medicaid for wheelchairs that they never provided. [read post]
8 Mar 2012, 9:01 am
Industry-specific guidance has been compiled on a linked page, providing access to a series of OIG voluntary compliance programs for health care industry members, including hospitals, physician practices, nursing homes, third-party billers, pharmaceutical manufacturers, HHS and PHS research grant recipients, and durable medical equipment suppliers. [read post]
16 Jun 2016, 7:17 am
., based in Murrysville, Pennsylvania, has agreed to pay $34.8 million to resolve alleged False Claims Act violations for paying kickbacks in the form of free call center services to durable medical equipment (DME) suppliers that bought its masks for patients with sleep apnea, the Department of Justice announced today. [read post]
16 Sep 2021, 10:28 am
The government’s complaint in intervention also alleges that DxID also asked health care providers to sign addenda forms up to a year after a visit or an encounter, going back into files long after physician visits to add diagnosis codes to patient medical records that weren’t based on a physician’s assessment, but rather on laboratory tests, durable medical equipment claims, or diagnostic testing. [read post]
23 Jan 2017, 8:56 am
Durable Medical Equipment: A North Carolina owner of a DME supplier was ordered to pay $2.6 million in restitution (and sentenced to 3.5 years) in connection with an alleged Medicare fraud scheme involving sham DME companies and purchased lists of individually identifying health information, which were then used to submit false claims. [read post]
23 Jan 2017, 8:56 am
Durable Medical Equipment: A North Carolina owner of a DME supplier was ordered to pay $2.6 million in restitution (and sentenced to 3.5 years) in connection with an alleged Medicare fraud scheme involving sham DME companies and purchased lists of individually identifying health information, which were then used to submit false claims. [read post]
23 Jun 2016, 7:03 am
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services, including home health care, psychotherapy, physical and occupational therapy, durable medical equipment (DME) and prescription drugs. [read post]
18 Mar 2021, 3:43 am
Medicare Administrative Contractors A MAC processes Medicare Part A, Part B, or durable medical equipment (DME) claims for Medicare. [read post]
18 Mar 2021, 3:43 am
Medicare Administrative Contractors A MAC processes Medicare Part A, Part B, or durable medical equipment (DME) claims for Medicare. [read post]
30 Oct 2015, 6:31 pm
Home Health Care, Durable Medical Equipment, False Billing, Unnecessary Testing The kind of health care frauds and associated conspiracies targeted by the MSF include, but are not necessarily limited to: Claims made for durable medical equipment (DME) supplies, such as power wheelchairs and orthotics; “Compound” medications for use with DME supplies, such as inhalers and nebulizers; HIV infusion… [read post]
23 Apr 2012, 12:06 pm
The final rule is summarized after the jump.Among many other things, the April 12, 2012 final rule: Implements new statutory requirements, including codifying Affordable Care Act (ACA) provisions related to the Medicare Part D Coverage Gap Discount Program and comprehensive medication reviews for beneficiaries in long term care (LTC) settings; Allows CMS to terminate the contracts of MA and Part D plan sponsors that have failed to achieve at least a 3-star rating under… [read post]
4 Sep 2012, 7:41 am
The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicare and Medicaid investigations, audits and recovery actions. [read post]
5 Nov 2008, 7:59 am
Ct., New York Co., decided 10/24/2008)There were two things working against Travelers in this case: (1) the limited scope of judicial review of an arbitration award; and (2) an affidavit of the prescribing physician which said that "most" but not all durable medical equipment items (DMEs) he had prescribed while working at Sunset General Medicine & Rehabilitation, PC, in Brooklyn were not medically necessary.Based on a negative peer-review… [read post]
2 May 2012, 3:05 am
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services such as home health care, mental health services, psychotherapy, physical and occupational therapy, durable medical equipment (DME) and ambulance services. [read post]
