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Also Noted

OMHA expands eligibility for settlements

August 13, 2020HME News Staff

WASHINGTON - The Office of Medicare Hearings and Appeals has extended the eligibility requirements to participate in a Settlement Conference Facilitation to appeals filed on or prior to March 31, 2020, that are pending at the administrative law judge hearing or Medicare Appeals Council review level, AAHomecare and the van Halem Group report. CMS launched the Settlement Conference Facilitation pilot program in July 2014 as an alternate dispute resolution process designed to bring the appellant and...

audits, eligibility, settlement


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Vendors

ResMed, gov't finalize settlement

January 15, 2020HME News Staff

WASHINGTON - ResMed has agreed to pay more than $37.5 million to resolve alleged False Claims Act violations for paying kickbacks to DME suppliers, sleep labs and other healthcare providers, the Department of Justice announced today.David Pendarvis, the company's chief administrative officer and global general counsel, said in a statement that the settlement was in the best interest of its customers, investors, employees and patients.“ResMed has not violated any laws,” he stated. “Its...

ResMed, settlement


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Also Noted

Lincare pays $5.25M to resolve allegations

August 21, 2018HME News Staff

CLEARWATER, Fla. - Lincare has paid $5.25 million to resolve allegations that it violated the federal False Claims Act and the Anti-Kickback Statute by offering illegal price reductions to Medicare beneficiaries, according to the U.S. Attorney's Office for the Southern District of Illinois. The government alleged that, from 2011 to 2017, Lincare attempted to gain a competitive advantage in the market by unlawfully waiving or reducing co-insurance, co-payments and deductibles for beneficiaries who...

Anti-Kickback Statute, False Claims Act, Lincare, settlement


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Providers

Rotech agrees to pay $9.68M

April 13, 2018HME News Staff

CLEARWATER, Fla. - Rotech Healthcare has agreed to pay $9.68 million for submitting false claims for portable oxygen contents to Medicare, according to an April 12 press release from the Department of Justice.As part of the settlement, Rotech admitted to billing portable oxygen contents to Medicare for beneficiaries who did not use or require them. Additionally, the company admitted to billing Medicare regardless of whether such contents were delivered, the release states.“This settlement serves...

False Claims Act, lawsuit, Rotech, settlement, whistleblower


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Specialty Providers

Sleep clinic agrees to pay $2.6M for dual role

December 30, 2016HME News Staff

SAN JOSE, Calif. - Bay Sleep Clinic and its related businesses have agreed to pay $2.6 million to settle allegations that they were involved in both the diagnosis and treatment of sleep patients, a violation of Medicare rules and regulations.The government charged Bay Sleep Clinic and its related businesses—Qualium Corp., which operates 20 sleep clinics, and Amerimed Corp., which does business as Amerimed Sleep Diagnostics and Amerimed CPAP Specialist—with fraudulently billing Medicare...

False Claims Act, settlement, Sleep Coaches


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Vendors

Philips, Masimo settle lawsuits

November 8, 2016HME News Staff

AMSTERDAM and IRVINE, Calif. - Royal Philips and Masimo have entered into a business partnership agreement that ends all pending lawsuits between the two companies.As part of the agreement, Philips is released from having to pay a $467 million jury verdict that was awarded to Masimo in October 2014. Instead, it will pay $300 million to Masimo in the fourth quarter, and will make certain marketing and product integration commitments over the coming years.“I am very satisfied that we have reached...

lawsuit, Masimo, patient monitoring, Philips, settlement


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Specialty Providers

National contract supplier to pay $12M settlement

September 8, 2016HME News Staff

NEWARK, N.J. - U.S. Healthcare Supply, a national contract supplier for mail-order diabetes supplies, and two of its executives have agreed to pay the government more than $12.2 million to resolve allegations that they violated the False Claims Act.The settlement resolves allegations that U.S. Healthcare Supply and Oxford Diabetic Supply, both based in Milford, N.J., set up and controlled a fictitious entity to make unsolicited telephone calls to Medicare beneficiaries to sell them DME. The companies...

False Claims Act, settlement, U.S. Healthcare Supply


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News

National contract supplier to pay $12M settlement

September 8, 2016HME News Staff

NEWARK, N.J. - U.S. Healthcare Supply, a national contract supplier for mail-order diabetes supplies, and two of its executives have agreed to pay the government more than $12.2 million to resolve allegations that they violated the False Claims Act.The settlement resolves allegations that U.S. Healthcare Supply and Oxford Diabetic Supply, both based in Milford, N.J., set up and controlled a fictitious entity to make unsolicited telephone calls to Medicare beneficiaries to sell them DME. The companies...

False Claims Act, settlement, U.S. Healthcare Supply


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Also Noted

Hollister, Byram settle for millions

May 3, 2016HME News Staff

BOSTON - Hollister and Byram Healthcare Centers have agreed to pay $11.4 million and $9.3 million, respectively, to resolve allegations that they engaged in a kickback scheme designed to increase sales and profits, the U.S. Attorney's Office for the District of Massachusetts announced April 29. The settlement with Hollister resolves allegations that, from 2007 through 2014, it paid kickbacks to Byram in return for marketing promotions, conversion campaigns, and other referrals of patients to its...

Byram, Hollister, kickbacks, settlement, supplies


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News

OMHA to expand settlement process for appeals

September 22, 2015HME News Staff

WASHINGTON - The Office of Medicare Hearings and Appeals will expand a pilot project that it launched last year that seeks to settle appeals that are stuck at the administrative law judge level.OMHA has announced that it will hold a conference call on Oct. 15 to discuss its plans to expand its Settlement Conference Facilitation pilot project.The office did not provide details on how it plans to expand the pilot project, but it stated: “The teleconference will brief appellants on how they can...

appeals, backlog, OMHA, settlement


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