Posts tagged with: "durable-medical-equipment-fraud"
Results 281 - 300
of 341
Sorted by Relevance
|
Sort by Date
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]
19 Jul 2012, 6:35 am
The unfortunate truth is that Florida has become synonymous with healthcare 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]
30 Aug 2012, 7:03 am
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, hospitals, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare… [read post]
24 Jan 2025, 1:36 pm
Baldonado was also accused of accepting cash kickbacks in exchange for authorizing lab tests and ordering unnecessary durable medical equipment, along with billing Medicare for office visits that never took place. 7. [read post]
9 Feb 2023, 8:37 am
One heavy hitter is healthcare: “Of the more than $2.2 billion in False Claims Act settlements and judgments reported by the Department of Justice this past fiscal year, 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]
7 Aug 2012, 1:54 pm
If you are concerned of any possible violations and would like a confidential consultation, contact a qualified health attorney familiar with medical billing and audits today.The Health Law Firm’s attorneys routinely represent physicians, medical groups, clinics, pharmacies, ambulance services companies, durable medical equipment (DME) suppliers, home health agencies, nursing homes and other healthcare providers in Medicaid and Medicare… [read post]
9 Feb 2022, 4:31 pm
For purposes of this federal law, “designated health services” (DHS) is defined as: (A) Clinical laboratory services; (B) Physical therapy services; (C) Occupational therapy services; (D) Radiology services, including magnetic resonance imaging, computerized axial tomography scans, and ultrasound services; (E) Radiation therapy services and supplies; (F) Durable medical equipment and supplies; (G) Parenteral and enteral nutrients, equipment, and… [read post]
16 Jul 2010, 7:44 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]
8 Feb 2019, 9:00 am
The OIG also has different compliance program guidelines for the following types of healthcare practices: Hospitals Clinical laboratories Home health agencies Durable medical equipment suppliers Third-party medical billing companies Hospices Medicare+Choice organizations offering coordinated care plans Nursing facilities The individual and small practice compliance guidelines, according to the American Academy of Family Physicians, are the result of Office of… [read post]
23 Dec 2019, 2:00 pm
In addition, the Act excludes certain complex rehabilitative manual wheelchairs (e.g., HCPCS codes E1235, E1236, E1237, E1238, and K0008) from the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program. [read post]
19 Sep 2022, 1:42 pm
Some children may need supportive care services for permanent disabilities or may need specialized durable medical equipment to aide in their recovery. [read post]
12 Aug 2016, 11:30 pm
DiNapoli’s auditors also found: 1. $1,052,058 in overpayments for claims billed with incorrect information pertaining to other health insurance coverage that recipients had; 2. $813,412 in overpayments for low-birth weight newborn claims that were submitted with incorrect birth weights; 3. $708,016 in overpayments for inpatient claims that were billed at a higher level of care than what was actually provided; and 4. $77,861 in improper payments for duplicate billings and claims for… [read post]
17 Nov 2015, 9:51 am
Now the federal authorities were privvy to the wide ranging nature of management agreements, rent payments, consulting agreements in every area of state workers' compensation patient treatment and ancillary services covering hospitals, durable medical equipment, compounding pharmacy, diagnostic services (MRI), psychological treatment, shockwave therapy, nerve conduction therapy and other servies. [read post]
28 May 2015, 7:50 am
The Whistleblowers’ Allegations Orbit was a seller of durable medical equipment (DME) including electric motorized wheelchairs, sometimes called power wheelchairs. [read post]
10 Feb 2023, 9:25 am
Indeed, of the more than $2.2 billion in FCA settlements and judgments reported by DOJ, over $1.7 billion (more than 80 percent of all recoveries) related to matters that involved the health care and life sciences industries, including drug and device manufacturers, durable medical equipment suppliers, home health and managed care providers, hospitals, pharmacies, hospice organizations, and physicians. [read post]
28 Jun 2010, 9:24 am
In this Part II, we will look at how physicians, home health, hospice, and durable medical equipment (DME) suppliers can prepare for and respond to RAC audits. [read post]
1 Feb 2022, 4:08 pm
In many cases, the department’s efforts also protect patients from medically unnecessary or potentially harmful actions. [read post]
5 Aug 2024, 10:46 am
The panel explained that the security system constituted “medical treatment” and rejected defendant’s reliance on Patterson to deny the replacement cameras, noting that durable medical equipment, such as a security system, is distinguishable from the type of intangible medical services addressed in Patterson . [read post]
7 Feb 2023, 6:19 pm
The False Claims Act thus serves to safeguard government programs and operations that provide access to medical care, support our military and first responders, protect American businesses and workers, help build and repair infrastructure, offer disaster and other emergency relief, and provide many other critical services and benefits.Of the more than $2.2 billion in False Claims Act settlements and judgments reported by the Department of Justice this past fiscal year, over $1.7… [read post]
