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Take PECOS seriously, stakeholders say

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11/08/2013

WASHINGTON – CMS has set a new start date for denying DME claims with the names of physicians who are not enrolled in PECOS and, this time, it may stick, industry stakeholders say.

Q&A: Wayne Stanfield

‘Bidding will change. It has to’
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11/08/2013

WASHINGTON – It’s ironic that Wayne Stanfield feels comfortable retiring now that NAIMES is part of AAHomecare.

HHS calls for DME location system

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09/25/2013

WASHINGTON – The Department of Health and Human Services (HHS) seeks a system to locate people using life-sustaining DME and assess the status of their devices during prolonged power outages or disasters.

CGS posts warning for enteral claims

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09/23/2013

NASHVILLE, Tenn. – An increasing number of errors in Medicare claims for enteral nutrition have led claims processor CGS to post a reminder on its website about documentation and billing requirements.

Woman indicted for fraudulent air mattress sales

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09/18/2013

PITTSBURGH – A DME saleswoman was indicted Sept. 17 for fraud related to $400,000 she billed to Medicare for air mattress sales prosecutors say were based on false and forged documents.

Noridian reports overpayments on PMD rentals

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08/22/2013

FARGO, N.D. – Noridian Administrative Services has reported overpayments on some power mobility devices in Round 2 competitive bidding areas. Noridian says the problem stems from a system issue that led to DME MACs paying a higher rate than allowed under the program.

Allstate Insurance sues slew of DME entities

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06/24/2013

HAUPPAUGE, N.Y. – Allstate Insurance seeks to recover $6.6 million in damages for alleged medical insurance fraud from 47 New York- and Florida-based DME entities and owners, according to a press release. The complaint, filed in the U.S.

Breathe, LLC launches mobile oximetry app

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06/24/2013

KANSAS CITY, Mo. – Breathe, LLC, a provider of overnight oxygen supplies and oximetry testing, has launched a mobile oximetry application, according to a press release.

Lawmakers call on OIG to investigate competitive bidding

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06/24/2013

WASHINGTON – In a June 21 letter to the Office of the Inspector General (OIG), Reps. Glenn Thompson, R-Pa., and Bruce Braley, D-Iowa, call on the agency to investigate the possibility that CMS deliberately overlooked its own rules when awarding contracts for competitive bidding, according to a press release.

Bills could deliver 'one-two punch' to bid program

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06/21/2013

WASHINGTON – A bill that would delay the expansion of competitive bidding could get fast-tracked through the House of Representatives, say industry stakeholders.

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