Posts tagged with: "durable-medical-equipment-fraud"
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18 Jun 2015, 2:45 pm
The government claims that the fraud occurred in various areas of healthcare, including home health care, psychotherapy, physical and occupational therapy, durable medical equipment ("DME") and pharmacy. [read post]
15 Feb 2024, 12:37 pm
PRESS RELEASE The United States has settled a civil fraud lawsuit against LINCARE INC., a large durable medical equipment (“DME”) supplier with approximately 700 locations throughout the United States. [read post]
21 Sep 2012, 7:25 am
Zone Program Integrity Contractors (ZPICs) are charged with detecting fraud, waste and abuse in Medicare Parts A, B, C, D, Durable Medical Equipment, Prosthetics, and Orthotics Suppliers (DMEPOS), Home Health and Hospice agencies (HH+H), and Medi-Medi (a partnership between Medicaid and Medicare designed to enhance collaboration between the two programs to reduce fraud, waste and abuse). [read post]
21 Sep 2012, 7:25 am
Zone Program Integrity Contractors (ZPICs) are charged with detecting fraud, waste and abuse in Medicare Parts A, B, C, D, Durable Medical Equipment, Prosthetics, and Orthotics Suppliers (DMEPOS), Home Health and Hospice agencies (HH+H), and Medi-Medi (a partnership between Medicaid and Medicare designed to enhance collaboration between the two programs to reduce fraud, waste and abuse). [read post]
21 Sep 2012, 7:25 am
Zone Program Integrity Contractors (ZPICs) are charged with detecting fraud, waste and abuse in Medicare Parts A, B, C, D, Durable Medical Equipment, Prosthetics, and Orthotics Suppliers (DMEPOS), Home Health and Hospice agencies (HH+H), and Medi-Medi (a partnership between Medicaid and Medicare designed to enhance collaboration between the two programs to reduce fraud, waste and abuse). [read post]
16 May 2014, 9:00 am
The charges are based on a variety of alleged fraud schemes involving various medical treatments and services, including home health care, mental health services, psychotherapy, physical and occupational therapy, durable medical equipment and pharmacy fraud. [read post]
14 Dec 2015, 7:22 am
The Medicare fraud cases relating to durable medical equipment (DME) companies allegedly providing power wheelchairs to patients who did not need them are not quite over. [read post]
29 Aug 2013, 8:19 am
The Medicare Strike Force FBI and HHS-OIG recently obtained a guilty plea by the former owner of a California durable medical equipment supply company (DME) business based on an alleged scheme to defraud Medicare of millions. [read post]
4 Oct 2012, 1:07 pm
The alleged fraudulent schemes range from home health care and mental health services, to psychotherapy, physical and occupational therapy, durable medical equipment services, and the largest ambulance fraud scheme ever prosecuted by the Medicare Fraud Strike Force. [read post]
10 Sep 2013, 8:09 am
CMS has pushed back indefinitely enforcement of an Affordable Care Act (ACA) provision requiring a face-to-face encounter as a condition of Medicare payment for certain durable medical equipment (DME) items. [read post]
27 Mar 2015, 9:19 am
Today CMS published a notice updating the Healthcare Common Procedure Coding System (HCPCS) codes on the Durable Medical Equipment (DME) List of “Specified Covered Items” that require a face-to-face encounter and a written order prior to delivery (although CMS still is delaying enforcement of the face-to-face examination – but not the detailed written order – requirement). [read post]
27 Mar 2015, 9:19 am
Today CMS published a notice updating the Healthcare Common Procedure Coding System (HCPCS) codes on the Durable Medical Equipment (DME) List of “Specified Covered Items” that require a face-to-face encounter and a written order prior to delivery (although CMS still is delaying enforcement of the face-to-face examination – but not the detailed written order – requirement). [read post]
29 Sep 2012, 7:20 pm
(AP - Karen Rayburn, a 47-year-old Baton Rouge woman, who worked as a patient recruiter for several Louisiana durable medical equipment (DME) companies has been sentenced to 18 months in prison for her role in a Medicare fraud scheme. [read post]
8 Nov 2012, 7:43 am
" Previously, fraud was caught only after the funds were disbursed and spent.The Miami area is among the nation's highest when it comes to the commission of Medicare fraud, particularly involving the areas of mental health, physical health, nursing homes, home health care, and durable medical equipment suppliers.Medicare Billed for Services Not Medically Necessary.In an attempt to effectuate the fraud scheme, some of the… [read post]
2 Dec 2014, 5:48 am
A 78 year old Los Angeles physician’s assistant was sentenced on November 24, 2018 to three years in federal prison for defrauding Medicare by signing fraudulent prescriptions and other medical documents for durable medical equipment (DME) while working at two separate medical clinics in the Los Angeles area. [read post]
13 Oct 2013, 10:05 am
Scammers can deplete allotted services so that things like physical therapy and durable medical equipment are not available when needed. [read post]
20 Jan 2016, 7:29 am
J&L Medical is a durable medical equipment company. [read post]
2 Jun 2011, 6:30 am
The defendants owned and operated a durable medical equipment company, OM Best Help Corp., which provided equipment as well as prescription drugs to Medicare beneficiaries. [read post]
12 Aug 2014, 8:24 am
” The bill covers a range of Medicare and Medicaid policies, from establishing new alternative sanctions for technical physician self-referral violations to providing more flexibility in meeting durable medical equipment (DME) documentation requirements. [read post]
20 Apr 2016, 8:21 pm
On or about March 23, 2016, a national medical supply company Respironics Inc., based in Pennsylvania, agreed to pay $34.8 million to resolve alleged False Claims Act violations for paying alleged kickbacks in the form of free call center services to durable medical equipment (DME) suppliers that bought its masks for patients with sleep apnea. [read post]