Posts tagged with: "durable-medical-equipment-fraud"
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20 Nov 2014, 4:45 pm
Examples of an advance directive for health care includes: Health Care Power of Attorney, Living Will or Durable Power of Attorney. [read post]
26 Mar 2019, 1:34 pm
. [$38.5 billion] Expansion of the durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program to all areas of the country. [read post]
25 Sep 2020, 11:41 am
In some cases, the company engaging these licensed professionals to provide telemedicine evaluations has been alleged to have illegally funneled prescriptions issued by these professionals to third-party durable medical equipment (DME) suppliers. [read post]
25 Sep 2020, 11:41 am
In some cases, the company engaging these licensed professionals to provide telemedicine evaluations has been alleged to have illegally funneled prescriptions issued by these professionals to third-party durable medical equipment (DME) suppliers. [read post]
29 Feb 2016, 7:16 am
For instance, CMS would modify the surety bond requirements for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers to allow CMS to reject an enrolling or enrolled DMEPOS supplier’s new or existing surety bond if the surety that issued the bond has failed to make a required payment to CMS. [read post]
19 May 2022, 2:02 pm
In 1996, a Florida appeals court cited the HHS-OIG’s statements in affirming a decision to void a durable medical equipment marketing contract that provided for payment as a percentage of sales, including sales to Medicare and Medicaid beneficiaries. [read post]
6 Nov 2024, 5:51 am
Supplemental Medical Review Contractor (SMRC) Audits of Hospice Claims. [read post]
6 Nov 2024, 5:51 am
Supplemental Medical Review Contractor (SMRC) Audits of Hospice Claims. [read post]
9 Oct 2019, 3:23 pm
Notably, CMS and OIG propose to expressly exclude, or are seeking comments regarding whether to exclude, certain entities from participating in protected arrangements on the basis of historical enforcement and oversight experience: (i) pharmaceutical manufacturers; (ii) manufacturers, distributors, or suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS); (iii) laboratories; (iv) pharmacy benefit managers; and (v) other wholesalers and… [read post]
29 Mar 2010, 6:52 am
The Affordable Care Act also provides assistance with retirees’ medical claims. [read post]
10 Dec 2019, 4:02 pm
Faster out-of-pocket spending growth for retail prescription drugs, durable medical equipment, and dental services more than offset a slowdown in out-of-pocket spending for hospital care. [read post]
14 Feb 2010, 1:06 pm
DHS include the following services when payable, in whole or in part, by Medicare:[2] · clinical laboratory services; · physical therapy services; · occupational therapy services; · radiology services (including MRI, CT scans, ultrasound services, and nuclear medicine);… [read post]
14 Feb 2010, 1:06 pm
DHS include the following services when payable, in whole or in part, by Medicare:[2] · clinical laboratory services; · physical therapy services; · occupational therapy services; · radiology services (including MRI, CT scans, ultrasound services, and nuclear medicine);… [read post]
13 Apr 2010, 9:45 am
”) Basically, any person who is aware of false or fraudulent conduct can qualify to bring suit.[12] Typically, this is a current or former employee of an organization or corporation such as a medical practice, nursing home, hospital, clinical laboratory, health insurance company, durable medical equipment company and drug and medical device manufacturers and distributors. [read post]
1 Aug 2010, 9:38 am
The Regulations specify that each benefit plan offered by a PCIP cover at least the following categories and the items and services: Hospital inpatient services Hospital outpatient services Mental health and substance abuse services Professional services for the diagnosis or treatment of injury, illness, or condition Non-custodial skilled nursing services Home health services Durable medical equipment and supplies Diagnostic x-rays and laboratory tests Physical therapy… [read post]
27 May 2022, 3:51 pm
Refining Definition for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 and 422.107)CMS finalized its proposal to require, for 2025 and subsequent years, that all fully integrated dual eligible special needs plan (“FIDE SNPs”) must have exclusively aligned enrollment, i.e., their enrollment is limited to individuals who are enrolled in the affiliated Medicaid managed care plan (“MCO”), and cover Medicare cost-sharing and the following three categories… [read post]
15 Aug 2022, 2:35 pm
President Biden will soon sign into law the Inflation Reduction Act (IRA), which provides $750 billion in funding and major federal policy changes impacting the U.S. energy, environment, healthcare and tax sectors. [read post]
23 Apr 2016, 10:08 pm
Constitutionof the Band Republic1. [read post]
