Posts tagged with: "durable-medical-equipment-fraud"
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29 Feb 2012, 4:28 am
In addition to the data mining tools highlighted in the Medistat indictments, other new tools helping to boost the success of federal health care fraud investigation and prosecution include: • Tough new rules and sentences for criminals • Enhanced screening and other enrollment requirements • Increased coordination of fraud prevention efforts • Health Care Fraud Prevention and Enforcement Action Team (HEAT) • New focus on compliance and… [read post]
6 Jan 2011, 12:43 pm
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]
25 Mar 2024, 12:29 pm
Providers Drug Companies Durable Medical Equipment Manufacturers or Suppliers Home Health Providers Hospices Hospitals and Health Systems Medical Clinics Medical Device Manufacturers or Suppliers Nursing Homes and Facilities Pharmacies Psychiatric and Psychological Services (Psychiatrists, Psychologists, LPCs, etc.) [read post]
19 May 2019, 2:30 pm
Attorney partners announced a coordinated takedown involving charges against 24 defendants, including executives of five telemedicine companies, the owners of dozens of durable medical equipment (DME) companies and three licensed medical professionals, for their alleged participation in health care fraud schemes involving more than $1.2 billion in losses. [read post]
11 Dec 2011, 12:18 pm
., a Florida corporation, Appellee. 2nd District.Insurance Fraud (Durable Medical Equipment): GEICO ALLEGES $477K FRAUD BY MEDICAL EQUIPMENT SUPPLIERS, HEALTH CARE PROVIDERS, Geico v. [read post]
25 Apr 2009, 1:20 pm
NO-FAULT - DURABLE MEDICAL EQUIPMENT - CLASS ACTION CERTIFICATION Globe Surgical Supply v. [read post]
14 Aug 2023, 7:13 am
Physician practices that continue to deliver or mail such DME items – including IUCs – to Medicare beneficiaries’ home addresses are now doing so in violation of the Stark Law unless the ordering/prescribing physician both: (i) personally (and not the physician’s practice, staff, or vendor) enrolls as a Medicare durable medical equipment, prosthetics, orthotics and supplies (“DMEPOS”) Supplier, and (ii) personally performs ALL the… [read post]
10 Apr 2013, 2:58 pm
Medicaid Provisions Base Medicaid rates for durable medical equipment on Medicare rates to save $4.5 billion over 10 years. [read post]
2 May 2012, 8:03 pm
" According to court documents filed in the Central District of California, two Orange County doctors and two of their co-schemers were charged for allegedly submitting nearly $5.7 million in false claims to Medicare for durable medical equipment (DME). [read post]
2 May 2012, 8:03 pm
" According to court documents filed in the Central District of California, two Orange County doctors and two of their co-schemers were charged for allegedly submitting nearly $5.7 million in false claims to Medicare for durable medical equipment (DME). [read post]
3 Aug 2012, 7:52 am
Contact Health Law Attorneys Experienced in Handling Medicaid and Medicare Audits.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 Medicaid and Medicare investigations, audits and recovery actions.To contact The Health Law Firm please call (407) 331-6620 or (850) 439-1001 and visit our website at… [read post]
6 Feb 2020, 3:44 pm
Such interagency task forces have proven effective over the past year, with significant actions by task forces focused on genetic testing fraud and fraud involving durable medical equipment. [read post]
1 Feb 2010, 10:44 am
Unquestionably, many of the cases cited at the Summit fall in this category – billing for services not rendered, beneficiaries selling their Medicare numbers, false certifications by physicians for items of durable medical equipment, dental clinics pulling children’s teeth unnecessarily to obtain Medicaid payment, clinics billing for outmoded infusion therapy for HIV/AIDS patients, and more. [read post]
27 Mar 2020, 7:53 am
Most recently, Medicare beneficiary information has been misused by a number of telemarketing companies and durable medical equipment companies. [read post]
8 Sep 2011, 5:11 am
In a separate and unrelated case, Akinsunbo Akinbile, 43, of Richmond, Texas, has been charged in a superseding indictment with eight counts of health care fraud in connection with an approximately $700,000 scheme to defraud the Medicare program through the submission of fraudulent claims for durable medical equipment (DME). [read post]
8 Sep 2011, 5:11 am
In a separate and unrelated case, Akinsunbo Akinbile, 43, of Richmond, Texas, has been charged in a superseding indictment with eight counts of health care fraud in connection with an approximately $700,000 scheme to defraud the Medicare program through the submission of fraudulent claims for durable medical equipment (DME). [read post]
17 Feb 2020, 9:01 am
The purpose of this article is to discuss several of the problematic Durable Medical Equipment (DME) telemedicine business arrangements that we have seen. [read post]
19 Jul 2012, 6:35 am
The unfortunate truth is that Florida has become synonymous with healthcare fraud. [read post]
30 Aug 2010, 11:01 pm
CMS has also expanded several of their programs, including a demonstration project on Durable Medical Equipment and their Medicaid provider audit program, to help monitor activities and detect fraud. [read post]
14 Mar 2019, 11:43 am
The experts noted several potential areas of ancillary investment for PPM businesses including: ambulatory surgery center (ASC) ownership, laboratory services, physical therapy services, imaging, and durable medical equipment (DME). [read post]
