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Guilty plea entered for $424M fraud scheme

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09/10/2019

WASHINGTON – The owner and CEO of a telemedicine company has pleaded guilty to a $424 million conspiracy to defraud Medicare and receive illegal kickbacks in exchange for DME orders, the Department of Justice has announced.

What’s up with this ‘What’s Covered’ app?

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Thursday, January 31, 2019

CMS this week has made much ado about its new “What’s Covered” app that allows beneficiaries to see whether Medicare covers a specific medical item or service, which of course includes HME.

CMS clarifies guidance on dual-eligibles

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01/08/2019

WASHINGTON – CMS has released updated guidance for state Medicaid programs on Medicare coverage for dual-eligible beneficiaries, clarifying that states do not need to require a Medicare denial for DMEPOS like incontinence supplies that the program routinely denies as non-

Stakeholders debut online bidding resource

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10/19/2018

WASHINGTON  – AAHomecare and other industry groups have rolled out a resource to help providers prepare for the next round of Medicare’s competitive bidding program.

CMS details premiums, deductibles for 2019

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10/12/2018

WASHINGTON – The standard monthly premium for Medicare Part B enrollees will be $135.50 for 2019, a slight increase from $134 in 2018, CMS has announced.

Court agrees broken appeals systems is unfair

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06/22/2018

DALLAS – A U.S. District Court’s recent opinion prohibiting CMS from recouping alleged overpayments from a provider going through the appeals process until after the administrative law judge level sends a strong message, industry stakeholders say.

Heard at Heartland: Engage your employees, leverage growing demand

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06/22/2018

WATERLOO, Iowa – Whether it’s medical supplies or a hot dog stand, if you want to build a world-class company, your employees need to provide exemplary service, said keynote speaker John DiJulius at the Heartland Conference last week.

‘It is no longer worth the pit in my stomach’

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Wednesday, April 4, 2018

It’s always disappointing when the HME industry’s efforts to get relief from Medicare’s competitive bidding program fail to cross the finish line. But this last time around, when H.R. 4229 failed to make the cut in a recently passed omnibus bill, it was particularly disappointing.

Medicare announces electronic initiative

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03/07/2018

WASHINGTON – CMS has announced a new initiative, MyHealthEData, to give patients control of their healthcare data.

‘It’s called cost shifting and it’s bad for Americans’

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Friday, September 15, 2017

A wrote a blog a few weeks back called “Head banging” about the share of Medicare spending on DME, and the concentration of Medicare spending in different areas of health care.

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