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Tag: DME

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IHCS receives award for outcomes platform 

October 18, 2022HME News Staff

MIRAMAR, Fla. – Integrated Home Care Services, an independent administrator of home health, DME and home infusion benefits, has announced that its MedTrac Home Insights and Outcomes Platform has received the silver award for the Home Care Innovator of the Year as part of the 2022 McKnight’s Excellence in Technology Awards program. The annual program celebrates outstanding innovation by skilled nursing, senior living and home care providers. "We developed MedTrac to better support our...

Administrator, DME, Home Infusion, Integrated Home Care Services

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Great Elm: ‘DME demonstrated strong core profitability’ 

September 13, 2022HME News Staff

WALTHAM, Mass. – Great Elm Group’s DME operating companies reported $16.5 million in total revenue for the three months ended June 30, 2022, compared to $14.5 million for the same period the previous year.  The increase in revenue was primarily attributable to more favorable intake and collections processes driving lower revenue reserve rates.  DME recognized a net loss of $200,000 for the fourth quarter of FY 2022 compared to net income of $5.9 million for the same period...

DME, Great Elm Group, M&A

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DME owner sentenced to two-plus years in prison

August 30, 2021HME News Staff

RALEIGH, N.C. – Shelly Phillips Bandy, co-owner of A Perfect Fit For You, a DME company based here, has been sentenced to 30 months in federal prison, followed by three years of supervised release on a charge of Making Material False Statements Relating to Healthcare Matters. In December, Bandy admitted to submitting fraudulent claims to Medicaid on behalf of A Perfect Fit.  Specifically, she admitted that on Jan. 1, 2016, she billed Medicaid for 43 fraudulent claims, totaling $626,773.79,...

DME, Medicare fraud

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MCOs and Medicaid: Call for support in NY 

March 2, 2021HME News Staff

ALBANY, N.Y. – AAHomecare is calling on providers in New York to help build support for two new bills in the state legislature that would require Medicaid managed care organizations to reimburse for DME and complex rehab at no less than 100% of the published Medicaid fee schedule for the same services and supplies. A.5368 was introduced in the State Assembly on Feb. 16 and S.5118 was introduced in the State Senate on Feb. 24. “This legislation is critically needed to ensure...

Complex Rehab, DME, Fee Schedule, Managed Care Organizations, Medicaid

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Hospice Source buys Superior Healthcare

November 24, 2020HME News Staff

CARROLLTON, Texas - Hospice Source, a provider of DME to the hospice market, has acquired Superior Healthcare in Marinez, Calif. The deal furthers Hospice Source's position as the largest provider of DME to the hospice market in California, the company says. “The acquisition of Superior Healthcare allows us to extend our passion for service to a greater number of northern California hospice patients and hospice partners,” said Jeff West, CEO of Hospice Source. “We welcome our new...

DME, Hospice, Hospice Source, M&A, Superior Healthcare

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Gov't charges 345, revokes billing privileges for 256

October 13, 2020HME News Staff

WASHINGTON - The Department of Health and Human Services Office of Inspector General, along with state and federal law enforcement partners, has conducted a national “telefraud” takedown involving more than $6 billion in alleged losses. The fraudulent activity has resulted in charges for 345 defendants, including telemedicine companies, DME companies, genetic testing labs, pharmacies and more than 100 medical practitioners, in 51 judicial districts. Health care billing privileges have...

DME, Fraud, OIG, telefraud, Telehealth

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BOC offers three certification exams online

June 3, 2020HME News Staff

OWINGS MILLS, Md. - The Board of Certification/Accreditation has launched a new remote proctored testing option, allowing candidates to complete their exams online and earn certification. Delivered by BOC test partner PSI, the remote proctored testing option allows candidates to take their orthotic fitter (COF), mastectomy fitter (CMF) or DME specialist (CDME) certification exams from a location of their choice. “Live, remote proctored testing gives candidates the opportunity to take exams...

BOC, Certification, DME, Mastectomy, Online education, Orthotics, Remote testing

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HomeCare Connect builds home mods staff

September 3, 2019HME News Staff

WINTER PARK, Fla. - HomeCare Connect, a company that manages the quality and cost of home health, DME, home modifications, O&P and medical supplies for workers' compensation patients and payers, has hired Michelle “Nickcola” Wallace as complex care transition manager. She will ensure that seriously injured workers receive appropriate home modifications and DME in a timely and cost effective manner. “Early intervention is key,” said Wallace, a certified aging-in-place specialist...

Disability, DME, Home modifications, HomeCare Connect, workers' compensation

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Judge issues first sentence in 'Operation Brace Yourself'

May 8, 2019HME News Staff

SAVANNAH, Ga. - Roderic Bain, the CEO of several DME companies based here, has been sentenced to more than three years in prison for allegedly defrauding Medicare of millions of dollars. Bain, who pleaded guilty to one count of false statements relating to healthcare matters, was also ordered to pay $1.9 million in fines and restitution. It's the first sentence handed down in “Operation Brace Yourself,” a nationwide fraud takedown that saw 24 defendants charged for their roles in a $1.2...

Braces, DME, Operation Brace Yourself

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DME-IQ allows physicians to bring DME programs in-house

January 29, 2019HME News Staff

MIRAMAR, Fla. - NuGenerex Distribution Solutions 2, a wholly owned subsidiary of Generex Biotechnology Corp., has launched DME-IQ, a service for physicians who distribute DME from their offices. DME-IQ focuses on several key areas, including negotiating on behalf of the physicians with key vendors to decrease the cost of goods, increasing insurance collections by providing oversight of coding during the billing process, providing the necessary personnel to manage the appeals processes, and ensuring...

DME, NuGenerex, software

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