Posts Tagged ‘DME’
DME Owners Face 55 Years Behind Bars
The owners and operators of four orthotic brace suppliers in Texas and Arkansas recently were convicted for their part in a $6.5 million kickback scheme that included federal anti-kickback law violations. Husband and wife Bruce and Bobbi Stroud, along with Kenric Griffin, owned and operated New Horizons Durable Medical Equipment, Striffin Medical Supply, 4B Ortho…
Read MoreCMS Easing DME MAC Requirements
The Centers for Medicare and Medicaid (CMS) is modifying requirements for DME Medicare Administrative Contractors (MACs) by allowing them to accept timely orders and medical documentation, regardless of whether the supplier received the documentation directly from the beneficiary’s eligible practitioner or from a transferring supplier, as long as they meet Medicare requirements. In a Change…
Read MoreFinalized DME rule targets fraud, abuse
The Centers for Medicare and Medicaid Services has finalized a rule that creates a prior authorization process for some durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that it has determined are often subject to unnecessary utilization – i.e. healthcare fraud. The rule was first proposed in May 2014 and included a Master List of…
Read MoreOIG adds 21 new investigative focus areas
The Office of Inspector General at the U.S. Department of Health and Human Services recently released the midyear update of its annual work plan, which not only outlined its accomplishments between October 2014 and May 2015 but also added 21 new focus areas for next year. The OIG noted that it will continue to look…
Read MoreNext phase in Medicare DMEPOS competitive bidding announced
The Centers for Medicare & Medicaid Services (CMS) has announced the new bidding timeline for Round 2 recompete and the national mail-order recompete of the Medicare Durable Medical Equipment, (DME) Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. The 63-day window opens on Jan. 22, 2015 and runs through March 25, 2015. On Nov. 6,…
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