Tag: DME

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,...

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...

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...

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...

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...

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...

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...

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...

DODGE CITY, Kan. - Phillips Chiropractic has opened a DME company called Phillips Durable Medical Equipment, according to the Dodge City Daily Globe. Phillips has contracted with a company out of Dallas to get custom braces within about seven days, Dr. Jammie Phillips told the newspaper. “In this area, where we kind of lack the durable medical equipment, a lot of times when the doctor needs a special ACL brace or a custom-fit brace, they were having to go to Wichita or have it ordered and have...

NEW YORK - DME technology platform Parachute Health has raised $5.5 million to expand nationwide. The company integrates directly with Epic and other widely used electronic medical record software programs to create a completely digital prescription ordering process for DME based on machine learning technology that ensures compliance with ever-changing insurance requirements. “Despite decades of advancement across industries, healthcare still relies on the fax machine,” said CEO David...