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Tag: Non-invasive ventilators


Providers

Lincare settles FCA allegations

February 19, 2024HME News Staff

NEW YORK – Lincare will pay $25.5 million to resolve claims that it violated the False Claims Act by fraudulently continuing to bill federal health care programs for the rental of non-invasive ventilators that patients no longer needed or used.    The settlement also resolves claims that Lincare violated the Anti-Kickback Statute by waiving coinsurance payments to induce certain Medicare and Tricare beneficiaries to rent NIVs.  As part of the settlement, Lincare also...

Lincare, Non-invasive ventilators


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News

AAH, ALS association send NIV letter to CMS

October 12, 2023HME News Staff

WASHINGTON – AAHomecare and the ALS Association continue to press their case with CMS that Medicare Advantage plans are improperly denying claims and imposing stricter coverage criteria for non-invasive ventilators than Medicare allows.  In an Oct. 4 letter to Kathryn Coleman, director, Medicare Drug & Health Plan Contract Admin Group for CMS, AAHomecare and the ALS Association share examples of MA plans that are “ignoring physician's orders and instead use excessive prior...

AAHomecare, ALS Association, Medicare Advantage, Non-invasive ventilators


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In brief: Breast forms legislation, NIV win, Medline truck rodeo

July 28, 2023HME News Staff

WASHINGTON — Reps. Judy Chu, D-Calif., and Mariannette Miller-Meeks, R-Iowa, have reintroduced the bipartisan Breast Cancer Patient Equity Act, which would provide Medicare coverage of custom breast prostheses to breast cancer survivors.  The bill, H.R. 4779, would allow hundreds of thousands of women each year to choose a custom prosthesis after a mastectomy.  “This is a great step forward in our efforts to expand access to life-changing health care for breast cancer...

Breast Forms, Medline, NCART, Non-invasive ventilators


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Providers

AdaptHealth resolves alleged false claims violations 

April 24, 2023HME News Staff

PHILADELPHIA – AdaptHealth will pay $5.3 million to resolve alleged False Claims Act violations for submitting allegedly false claims to federal health care programs for respiratory devices that patients did not need or use, according to the U.S. Attorney’s Office for the Eastern District of Pennsylvania.   The settlement resolves allegations that between 2013 and 2017 AdaptHealth, known at the time as QMES and Tri-County Medical Equipment and Supply, knowingly and willfully...

AdaptHealth, False Claims Act, Non-invasive ventilators


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Casey Hoyt

Specialty Providers

Viemed pushes back on OIG’s findings

May 25, 2021HME News Staff

LAFAYETTE, La. – Viemed Healthcare says a recent report from the Office of Inspector General shows how disconnected investigators are from CMS’s clinical protocols for non-invasive ventilators and shines a light on the lack of understanding of the critical role HME providers play in providing this life-saving care to patients.  The OIG in May published a report saying most of the Medicare claims submitted for the monthly rental of NIV by Viemed, under its original name Sleep...

Non-invasive ventilators, Office of Inspector General (OIG), Viemed Healthcare


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Specialty Providers

Study: NIV at home shows benefits, but underutilized

March 2, 2021Theresa Flaherty, Managing Editor

LAFAYETTE, La. – A recent study showing positive outcomes for patients treated with non-invasive ventilation at home is a step toward closing a “data gap” that prevents more patients from benefiting from the therapy, says Dr. William Fraizer, chief medical officer for Viemed Healthcare. Patients treated with NIV at home had a 50% decrease in all-cause mortality during the study period; a 28% decline in the risk of hospitalization; and a 52% reduction in the risk of an emergency...

Non-invasive ventilators, Research, Respiratory Therapy, Viemed Healthcare


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Also Noted

Inogen settles patent dispute

February 1, 2021HME News Staff

CHICAGO – Inogen has settled allegations that its line of wearable ventilators infringes on patents by Breathe Technologies, according to Bloomberg Law. Inogen entered the non-invasive ventilators market with its acquisition of New Aera for $70.4 million in 2019. New Aera manufactures the Tidal Assist Ventilator system, which includes the SideKick RAV, a 4-ounce, pocket-sized portable non-invasive vent for people suffering from various chronic lunch...

Breathe Technologies, Inogen, Non-invasive ventilators, Patent lawsuit


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Specialty Providers

Non-invasive vents decrease mortality, hospitalization, ER visits, Viemed study shows 

January 11, 2021HME News Staff

LAFAYETTE, La. – Viemed Healthcare has published a study that shows non-invasive ventilation at home improves survival and decreases health care utilization in Medicare beneficiaries with COPD with chronic respiratory failure.  “This study is the first of its kind published in the U.S. and represents a significant milestone in our mission of educating the medical community on the benefits of NIVH,” said Casey Hoyt, Viemed CEO. “The data supports...

COPD, Non-invasive ventilators, Study, Viemed Healthcare


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News

In brief: Apria settles with gov’t, Viemed backs Verustat

December 21, 2020HME News Staff

NEW YORK – The acting U.S. Attorney for the Southern District of New York has announced a $40.5 million settlement with Apria Healthcare for alleged fraudulent billing practices for non-invasive ventilators. The lawsuit alleges, among other claims, that Apria submitted false claims to federal health programs, including Medicare and Medicaid, seeking reimbursement for the rental of non-invasive vents to beneficiaries who were not using the NIVs. Other claims in the lawsuit: Apria...

Non-invasive ventilators, Verustat, Viemed Healthcare


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Specialty Providers

CMS drops vents from Round 2021

April 9, 2020HME News Staff

WASHINGTON - CMS has removed non-invasive ventilators from the competitive bidding program. The agency had included the vents in Round 2021, something industry stakeholders have argued against and something that has taken on a new urgency in the wake of the coronavirus pandemic. "CMS is making the right call at the right time in removing non-invasive vents from the next round of competitive bidding," said Tom Ryan, AAHomecare president and CEO. "This decisive action will help...

Non-invasive ventilators, Round 2021


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