Medicare Paid $30 Million for Accumulated Repair Costs That Exceeded the Federally Recommended Cost Limit for Wheelchairs During Their 5-Year Reasonable Useful Lifetime.
Tag: Medicare
Billion-Dollar Medicare Fraud Bust – FBI.gov
California HMDR Exemptee Training Certification Online Class for home medical device retailers – Accepted by the California Department of Public Health (Food & Drug Branch) Read the full article: Billion-Dollar Medicare Fraud Bust – FBI Announces Results of Operation Brace Yourself – FBI.gov The FBI & DOJ targeted alleged schemes involving the payment of illegal kickbacks […]
Medicare Accounts for 16% of HME Spending — HME Business
“Another data point shows just how greatly Medicare’s importance as a revenue driver for HME has dropped. In addition to Medicare’s 16 percent share, Medicaid accounted for 15 percent of HME spending, and all other sources, such as private payer and retail sales, represented 68 percent of HME spending.” Read The Full Source: Medicare Accounts […]
National Medicare Fraud Takedown Results in Charges Against 243 Individuals for Approximately $712 Million in False Billing | OPA | Department of Justice
“In Los Angeles, eight defendants were charged for their roles in schemes to defraud Medicare of approximately $66 million. In one case, a doctor is charged with causing almost $23 million in losses to Medicare through his own fraudulent billing and referrals for DME, including over 1000 expensive power wheelchairs and home health services that […]
Medicare to expand ‘prior authorization’ for device coverage | TheHill
“In a shift from the current system, Medicare is proposing to rule on seniors’ coverage for home medical devices before the supplies are delivered or claims for payment are submitted. The Centers for Medicare and Medicaid Services CMS is planning to expand the use of “prior authorization” for power scooters and wheelchairs, and introduce the […]