» Texas HEAT Rounds Up More DME Medicare Fraud

Texas HEAT Rounds Up More DME Medicare Fraud

Monday, March 15, 2010

‘Arthritis kit’ fraudsters make it harder for legitimate orthotics providers to do their business. If you’ve been reading about Medicare fraud schemes involving ‘arthritis kits,’ and like me, you’re wondering how these schemes work,

Audits: RACs Pile On More Home Care Review Topics

Monday, March 1, 2010

0 Comments

Think the Recovery Audit Contractors are sticking to big-money providers? Think again. Medicare’s audit bounty hunters may not yet have specified home health agency or hospice topics for review, but that doesn’t mean you have nothing to worry about from…

DME Consignment Closet Update

Thursday, February 18, 2010

0 Comments

CMS’s onerous new rules for durable medical equipment supply closets in physicians’ offices are on hold. Under a controversial transmittal issued last August, DME suppliers would have to transfer their equipment to physicians if they kept a supply closet at…

What DME Suppliers Need To Know About Telemarketing Compliance

Thursday, February 18, 2010

0 Comments

You can’t contact a new bene without his written consent, except in this instance. We meant what we said and we said what we meant, the HHS Office of Inspector General essentially said when it reissued a 2003 fraud alert…

DME: OIG Finds 60% Of Wheelchair Claims Don’t Meet Medicare Requirements

Monday, January 18, 2010

0 Comments

Industry points finger at confusing, overly complex documentation rules. You may think the seat can’t get any hotter for durable medical equipment suppliers, but the HHS Office of Inspector General just turned the heat up another notch. Three out of…

Medicare Strike Force Update: Brooklyn, Tampa & Baton Rouge HEAT Up

Monday, January 4, 2010

0 Comments

Photo: Jan Kronsell, Wikipedia New twist: ‘Shoe insert’ fraud. As they say on the Louisiana bayou, “Laissez les bon temps roulez” or “Let the good times roll.” The good times for some…

OIG Investigates DME More Than Any Other Provider Type

Monday, December 14, 2009

0 Comments

Watchdog agency shines spotlight on HHAs, hospices as well. In an environment of increased scrutiny for Medicare fraud and abuse, home care providers are taking center stage. The HHS Office of Inspector General investigated durable medical equipment suppliers more than…

Physician Number Edits To Slam DME Claims In New Year

Monday, November 30, 2009

0 Comments

Are the NPIs on your claims valid? DME suppliers may start the new year off with severely restricted cash flow if they don’t pay attention to a new claims edit taking effect in January. “Contractors are now comparing the [National…

OIG Dragnets of IDTFs and EMTALA Pressure Physicians

Monday, October 26, 2009

0 Comments

The OIG’s 2010 Work Plan is full of clear enforcement and compliance goals that will affect physicians. And then there are other issues the OIG will investigate that at first may not seem to have much to…

2 DME Scenarios That Trigger Compliance Problems

Monday, October 12, 2009

0 Comments

‘Supplying’ DME? Make sure your health system understands what ‘freedom of choice’ means. If your hospital holds wheelchair clinics or allows a DME supplier to come to your site and fit patients with prosthetic or orthotic devices…

HC Compliance Essentials

Tag Archive | "DME"