Navigation Links
Durable Medical Equipment Community Supports Tough Anti-Fraud Measures, Corrects Persistent Myths
Date:9/22/2010

only account for 28 percent of the Medicare payment rate.  The remaining 72 percent is related to service and general and administrative costs.

Payment Rates that Differ from Internet Pricing Do Not Promote Fraud

Criminals out to defraud the Medicare program are intent on stealing.  They do not provide equipment and services and they do not follow Medicare rules and regulations.  However, recently, the OIG stated that because home medical equipment reimbursement rates are often higher than pricing for HME available on the Internet, it inherently leads to fraud and abuse.  The OIG reasons that excess revenues attract criminals who intend to defraud the Medicare program and can be used to promote kick-back arrangements.  This is an unsubstantiated assumption.  AAHomecare is not aware of any federal study conducted by the OIG or the GAO that demonstrates that excessive payment promotes fraud.  The real point is that criminals intent on defrauding Medicare are not suppliers and have no intention of providing items and services to Medicare beneficiaries regardless of the payment rate.

There Is Not an Excessive Number of HME Providers

Federal officials frequently point to the need to reduce the number of suppliers that participate with the Medicare program.  What is overlooked is that there are only approximately 15,000 home medical equipment providers nationwide—or about one for every 2,500 Medicare beneficiaries. Even CMS cites the statistic that only 20 percent of suppliers in the round one areas of competitive bidding bill more than $10,000 to the Medicare program annually.  The vast majority of entities that have supplier numbers are pharmacies like CVS or Rite Aid, physical therapists, physicians, ophthalmologists, prosthetists, neurosurgeons, dentists, and other similar providers.  Moreover, some policymakers have stated that the DMEPOS fee schedule is outdated.  
'/>"/>

SOURCE American Association for Homecare
Copyright©2010 PR Newswire.
All rights reserved

Page: 1 2 3 4 5 6 7

Related medicine technology :

1. WellPoint Subsidiary Wins Durable Medical Equipment Medicare Administrative Contract Valued at $86.7 Million
2. Independent Study Concludes Medicare Competitive Bidding Program for Durable Medical Equipment Could Negatively Affect Care Access, Quality, and Choice for Seniors and People with Disabilities
3. NACDS, NCPA Urge Doctors to Enroll Now in Medicares PECOS System to Preserve Patient Access to Durable Medical Equipment
4. Micromets Blinatumomab Induces Durable Remissions in Patients with Relapsed Non-Hodgkins Lymphoma
5. Houston-Area Durable Medical Equipment Company Owner Pleads Guilty to Fraud Scheme Involving Nutrition Supplies
6. Harborside Healthcare to Pay U.S. $1.375 Million to Resolve Allegations of Kickbacks and Sham Durable Medical Services
7. Zevalin Consolidation in Patients With Complete Remission After Induction Therapy Results in Durable Remission of More Than 67 Months
8. DURABLE Clinical Trial Results Show GlycoMark is Key Test for Managing Patients with Diabetes
9. Micromets BiTE Antibody Blinatumomab (MT103/MEDI-538) Demonstrates Durable Responses in Patients with Relapsed Non-Hodgkins Lymphoma
10. Delcath Updates Phase III Patient Enrollment as Pivotal Trial Accelerates, Durable Tumor Responses In Phase II Study Also Cited
11. IDM Pharma Announces Updated Phase 2 UVIDEM(R) Results Showing Durable Disease Control and Tolerability in Advanced Melanoma Patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/4/2015)... NEW YORK , March 4, 2015 /PRNewswire/ ... orthopedic device market is the increasing elderly population, ... in a recent report from the healthcare market ... aging population coupled with other risk factors such ... orthopedic incidence worldwide. Demand for innovative product designs ...
(Date:3/4/2015)... ATLANTA, March 4, 2015 Alimera Sciences, ... pharmaceutical company that specializes in the research, development ... financial results for the fourth quarter and year ... year was a pivotal year for Alimera Sciences, ... ILUVIEN in September for the treatment of diabetic ...
(Date:3/4/2015)... MARLTON, N.J. , March 4, 2015 ... brand protection and serialization solutions, announced it will be ... Roosevelt Paper. The live event, "How to Boost Manufacturing ... on Wednesday, March 18th at 2:00 PM EDT.  ... Officer for Acsis, and John Gordon , Chief ...
Breaking Medicine Technology:Kalorama: Growing Elderly Population Drives Orthopedic Device Market 2Kalorama: Growing Elderly Population Drives Orthopedic Device Market 3Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 2Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 3Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 4Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 5Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 6Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 7Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 8Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 9Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 10Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 11Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 12Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 13Alimera Sciences Reports Fourth Quarter and Full Year 2014 Financial Results 14
... STXS ) continued leadership in the remote ... again be prominently detailed in the scientific program of ... Francisco, California. Ten podium presentations and ten posters will ... magnetic navigation in the treatment of a variety of ...
... HAYWARD, Calif., May 3, 2011 Anthera Pharmaceuticals, Inc. (Nasdaq: ... highlights for the quarter ended March 31, 2011. ... the first quarter ended March 31, 2011 were $18.7 million, ... 2010. The increased operating expenses in the first quarter of ...
Cached Medicine Technology:Stereotaxis' Continued Leadership in Scientific Outcome Data Prominently Displayed with Multiple Key Presentations at HRS 2011 2Stereotaxis' Continued Leadership in Scientific Outcome Data Prominently Displayed with Multiple Key Presentations at HRS 2011 3Stereotaxis' Continued Leadership in Scientific Outcome Data Prominently Displayed with Multiple Key Presentations at HRS 2011 4Stereotaxis' Continued Leadership in Scientific Outcome Data Prominently Displayed with Multiple Key Presentations at HRS 2011 5Anthera Pharmaceuticals Reports 2011 First Quarter Financial Results and Operational Update 2Anthera Pharmaceuticals Reports 2011 First Quarter Financial Results and Operational Update 3Anthera Pharmaceuticals Reports 2011 First Quarter Financial Results and Operational Update 4Anthera Pharmaceuticals Reports 2011 First Quarter Financial Results and Operational Update 5
(Date:3/5/2015)... In recognition of its ongoing commitment ... Flordis International (SFI) has been honored by the American ... natural medicine company committed to identifying and developing natural ... and effectiveness. For these efforts the non-profit ABC selected ... in Phytomedicinal Research Award. , Phytomedicinal research seeks ...
(Date:3/5/2015)... 05, 2015 March is National ... campaign sponsored by the Academy of Nutrition and ... Healthy Lifestyle," which promotes the consumption of fewer ... achieving and maintaining a healthy weight, reducing risks ... , Whether a person is new to physical ...
(Date:3/5/2015)... GA (PRWEB) March 05, 2015 The ... Fu for Health and Wellness at Atlanta Shaolin Institute ... on 4350 Peachtree Industrial BLVD, Suite 500A, city of ... (Shaolin Chan Foundation), which is a non-profit organization that ... arts, philosophy and medicine. , The seminar was ...
(Date:3/5/2015)... March 05, 2015 Medical professionals suggest ... here—and it’s a crisis that is worsening. The demand ... order to stay on top of the physician shortage, ... PracticeLink to meet face-to-face with physicians and advanced practitioners ... and Job Fair series. , Physician openings take an ...
(Date:3/4/2015)... (PRWEB) March 05, 2015 Understanding China’s ... — 1:30 p.m. – 3:00 p.m. EDT, http://www.fdanews.com/UnderstandingChinaMDRegs ... and revamped regulations for medical devices in China. ... medical devices — research and development, approval, manufacturing, distribution, ... — those currently in development as well as those ...
Breaking Medicine News(10 mins):Health News:SFI Receives Prestigious ABC’s Tyler Award Given For Global Research Effort 2Health News:SFI Receives Prestigious ABC’s Tyler Award Given For Global Research Effort 3Health News:National Nutrition Month® Tips for Athletes from the Austin Sports Medicine Team at Medicine in Motion 2Health News:National Nutrition Month® Tips for Athletes from the Austin Sports Medicine Team at Medicine in Motion 3Health News:Top Martial Arts Master Wu Bin of China, Has Successfully Conducted a Time-Honored Kung Fu Seminar for Health & Wellness at Shaolin Institute, Atlanta, GA 2Health News:Top Martial Arts Master Wu Bin of China, Has Successfully Conducted a Time-Honored Kung Fu Seminar for Health & Wellness at Shaolin Institute, Atlanta, GA 3Health News:Physician Shortage Crisis Worsening 2Health News:FDAnews Announces: Understanding China’s New Medical Device Regulations Webinar, March 26, 2015 2Health News:FDAnews Announces: Understanding China’s New Medical Device Regulations Webinar, March 26, 2015 3
... First-of-Its-Kind Device To Aid Dentists & Doctors in Detecting Oral ... More Deadly Than Breast, Cervical, or Prostate Cancers , HOUSTON, ... to aid in early detection, dentists, hygienists, and doctors have ... -- oral cancer , ...
... Pharmaceuticals USA, the leading generic pharmaceutical company, today ... to push for more affordable healthcare. The program, ... 25th anniversary of the landmark Waxman-Hatch Act which ... resulted in billions of dollars of savings."With a ...
... Service Corporation,International (NYSE: SCI ), which ... that its Board of Directors has approved a,quarterly cash ... The,quarterly cash dividend announced today is payable on ... of business on April 15, 2009. While the,Company ...
... new biological marker present in the urine of patients ... progressing and spreading. , In experiments reported in the ... the scientists identified 10 metabolites that become more ... showed that one of these chemicals, sarcosine, helps prostate ...
... 11 This Valentine,s Day, Berry Chill is,offering a ... any chilled yogurt,order, they,ll receive a free Valentine,s Day ... with fresh strawberries, pomegranate and,chocolate chips. , ... and the pair must,place the order together. Subtractions from ...
... Feb. 11 ActivCore LLC, a,leading company ... Redcord,products in the United States, announces the ... (WIM). ActivCore will leverage WIM,s training,infrastructure ... will serve,therapy professionals, chiropractors, fitness club professionals, ...
Cached Medicine News:Health News:New Identafi(TM) 3000 Identifies Signs of Silent Killer: 2Health News:New Identafi(TM) 3000 Identifies Signs of Silent Killer: 3Health News:New Identafi(TM) 3000 Identifies Signs of Silent Killer: 4Health News:Teva Launches National Advocacy Campaign for Affordable Healthcare 2Health News:Service Corporation International Declares Quarterly Cash Dividend 2Health News:Service Corporation International Declares Quarterly Cash Dividend 3Health News:Survey of metabolites finds new prostate cancer marker 2Health News:Survey of metabolites finds new prostate cancer marker 3Health News:Berry Chill Offers Sweet Valentine's Day Deal for Couples 2Health News:ActivCore LLC Announces Strategic Partnership with Wellness in Motion 2
Used to establish and temporarily maintain suprapubic access during endoscopic procedures. Supplied sterile in peel-open packages. Intended for one-time use....
... is a minimally invasive tension-free sling ... incontinence resulting from urethral hypermobility (Type ... Stratasis TF Kit is designed to ... placement. Supplied sterile in peel-open ...
... a Roadrunner, Bentson, or other flexible tipped ... beyond a redundant or tortuous ureteral segment. ... around and beyond a ureteral stone, or ... stone from the mucosal wall. Supplied sterile ...
... of contrast medium, anesthetic gel, and/or safety ... the need for multiple catheterizations. The Flexi-Tip ... into and through the ureter. AQ is ... when activated, attracts and holds water and ...
Medicine Products: