Tag Archive | "DME"
Keep Your Practice’s DME Dealings in the Clear
Experts reveal three ways to stay compliant in this increasingly hot risk area. Last week, we addressed how the feds will likely be increasing their scrutiny of financial relationships between physicians and DME manufacturers. While it may be hard to…
Continue reading...Don’t Let Financial Ties to Manufacturers Create Legal Woes
Monday, May 10, 2010
Transparency of prescriber-supplier relationships is increasing. With the new health care reform law in place, the feds will soon be able to take a harder look at financial relationships between physicians and companies that make drugs, biologics, medical devices and…
Continue reading...‘Rollaway’ DME Supplier Gets 9-Year Sentence
Saturday, March 27, 2010
Aggressive power wheelchair marketing tactics part of a Medicare fraud scheme. A fugitive owner of a Los Angeles-based durable medical equipment company was sentenced to nine years in prison following a more than $1 million power wheelchair fraud case, a…
Continue reading...OIG’s New ‘Compendium’ Reveals Possible Part A& B Audit Targets
Monday, March 22, 2010
The OIG has combined the old red book and orange book to come up with a “Compendium of Unimplemented Recommendations,” the latest of which was published earlier this month. The document notes outstanding recommendations to save money in Medicare…
Continue reading...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,
Continue reading...Audits: RACs Pile On More Home Care Review Topics
Monday, March 1, 2010
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…
Continue reading...DME Consignment Closet Update
Thursday, February 18, 2010
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…
Continue reading...What DME Suppliers Need To Know About Telemarketing Compliance
Thursday, February 18, 2010
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…
Continue reading...DME: OIG Finds 60% Of Wheelchair Claims Don’t Meet Medicare Requirements
Monday, January 18, 2010
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…
Continue reading...Medicare Strike Force Update: Brooklyn, Tampa & Baton Rouge HEAT Up
Monday, January 4, 2010
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…
Continue reading...- Some Flowers & Some PHI
- Organized Crime Turns to Health Care Fraud
- Audit Alert: Ambulance Services for Part A SNF Residents
- Feds Pinpoint Therapy in Major NPP Incident To Snafus
- Senior Medicare Patrol Recovered $4.5 Million by Watching for Fraud and Abuse
- Keep Staff Up to Date on CPR, Physical Restraint Policies
- HHS Investigates Humana For Scary Flyer
- OIG Settlement Highlights Personal Accountability for Compliance Officers, CEOs
- Prepare for Increased Fraud Enforcement with Medicaid Compliance Plan
- HHS Issues New Interim Rule on HIPAA Penalties
- Lois Mazza: I too would like to know how a gift shop employee ...
- David B.: Sometimes even if the staff and all involved are a...
- Gary Brazzell: Thanks for the response and additional info!...
- Gary Brazzell: Aren't gift cards a "cash equivalent" and therefor...
- Editor: Hi Gary: Thanks for writing in. I didn't deal too ...
- Do You Have a “Direct Reporting Relationship” with Your Board?
- Feds Tell Employers to Give Young Adults Coverage
- How to Get Physician Buy-In on Compliance Programs
- United Settles with Physicians, Subscribers for $350M
- Should Health Care Organizations Equate Risk with Compliance?
- Wisconsin Passes Parity Law for Mentally Ill and Drug Abusers
- HHS Must Draft New Regs on Visitation, Advance Directives at Hospitals
- New York OMIG’s Game Plan: Follow the 1’s and 0’s
- New Health Care Reform Law Alters Stark “In-Office” Exception
- Get Ready for More Modifier 59 Scrutiny
Monday, May 17, 2010
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