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Medicare fraud and abuse by durable medical equipment suppliers Hearing before the Subcommittee on Oversight of the Committee on Ways and Means, House ... West Chester, Pennsylvania, June 21, 1991 by United States

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Published by For sale by the U.S. G.P.O., Supt. of Docs., Congressional Sales Office .
Written in English


Book details:

The Physical Object
Number of Pages116
ID Numbers
Open LibraryOL7367513M
ISBN 100160373409
ISBN 109780160373404

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  Durable medical equipment fraud is one of the leading ways criminals commit health care fraud. They do so by filing false insurance claims with Medicare or your insurance company. Durable medical equipment, such as wheelchairs, scooters, walkers and oxygen supplies, are prescribed for you by your : Education And Outreach. Report Durable Medical Equipment Fraud/Medicare fraud here. Do you work for a durable medical equipment supplier that is committing Medicare fraud? Help stop government waste and abuse, and get rewarded for your efforts. Our attorneys have significant experience representing healthcare industry whisteblowers. Telemarketing By Durable Medical Equipment Suppliers March Section (a)(17) of the Social Security Act prohibits suppliers of durable medical equipment (DME) from making unsolicited telephone calls to Medicare beneficiaries regarding the furnishing of a covered item, except in three specific situations: (i) the.   Medicare Strike Force Honing in on Durable Medical Equipment Fraud. The Medicare Strike Force Team, a targeted initiative formed to combat health care fraud in nine US fraud hotspots, is increasing its focus on DME fraud. According to the HCFAC Reports from , the Medicare Strike Force Team DME cases increased from 15% to 23%.

Get this from a library! Medicare fraud and abuse by durable medical equipment suppliers: hearing before the Subcommittee on Oversight of the Committee on Ways and Means, House of Representatives, One Hundred Second Congress, first session, West Chester, Pennsylvania, J [United States. Congress. House. Committee on Ways and Means. Durable Medical Equipment (DME) is defined by the Federal Government as “equipment which can withstand repeated use,” and “is primarily and customarily used to serve a medical purpose,” and “generally is not useful to a person in the absence of an illness or injury,” and “is appropriate for use in the home.” Under this broad definition, Durable Medical Equipment can include a. Federal Register / Vol. 64, No. / Tuesday, July 6, / Notices Services (HHS) continues in its efforts to promote voluntarily developed and implemented compliance programs for the health care industry. The following compliance program guidance is intended to assist suppliers 1 of durable medical equipment,2 prosthetics,3File Size: KB.   Durable Medical Equipment Suppliers to Pay $ Million to Resolve False Claims Act Allegations Orbit Medical Inc. and Rehab Medical Inc. will pay $ million to resolve allegations that Orbit submitted false claims to federal health care programs for power wheelchairs and accessories, the Justice Department announced today.

Fraud and Abuse: Home Health Care and Durable Medical Equipment A Report from the Office of Inspector General (OIG) examined whether Medicare payments to home health agencies (HHAs) met Medicare reimbursement requirements, particularly the requirement that physicians certify the need for the service. The OIG. Most suppliers who work with Medicare are honest. However, there are a few who aren’t. For example, some suppliers of medical equipment try to cheat Medicare by offering expensive power wheelchairs and scooters to people who don’t qualify for these items. For more information about Medicare’s coverage of power. Though durable medical equipment plays a critical role in the lives of many seniors, the frequency of fraud surrounding its sale has turned it into one of the most vilified programs in Medicare.   An operator of multiple purported durable medical equipment (DME) companies pleaded guilty today to fraud charges for her role in a scheme to defraud Healthfirst, a non-profit, New York-based health maintenance organization that administers Medicare Advantage plans and New York Medicaid Managed Care plans.