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What’s behind pattern of low bid rates?

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11/01/2013

WASHINGTON – HME providers say fear of being excluded from the Medicare program prompted the low reimbursement rates for the Round 1 re-compete.

OIG finds payments for dead beneficiaries

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11/01/2013

WASHINGTON – Medicare paid $23 million in improper payments on behalf of deceased beneficiaries in 2011, according to an Oct. 31 report from the Office of Inspector General (OIG).

CMS lowers interest rates

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10/31/2013

WASHINGTON – CMS has announced a 0.5% decrease in the interest rate on Medicare overpayments and underpayments, according to a recent AAHomecare bulletin.

Government announces $12M Medicare fraud settlement

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10/23/2013

NEW ORLEANS – Robert Shea and Mark Franz, owners of a pair of Kansas-based diabetic supply companies, will pay the government $7 million to settle allegations of fraud, U.S. Attorney Kenneth Allen Polite, Jr., announced Oct. 22.

Pastor sentenced to seven years for Medicare fraud

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10/21/2013

LOS ANGELES – The owner of a medical equipment supply company has been sentenced to 87 months in prison for a power wheelchair scam that defrauded Medicare out of $11 million, according to local news reports.

Subcontracting: Not what it’s cracked up to be

‘The bed looks like it came from the 99-cent store’
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10/11/2013

YARMOUTH, Maine – Junk equipment and slow service were not what some subcontractors expected to provide when they signed on the dotted line.

HHS on Medicare Advantage: Enrollment high, premiums low

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09/20/2013

WASHINGTON – Enrollment in Medicare Advantage (MA) plans is expected to increase for the fourth year in a row in 2014, with only slight increases in premiums expected.

Report: Roche nixes plans to sell diabetes business

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09/20/2013

NEW YORK – Drugmaker Roche Holding AG is pulling back from plans to sell its blood glucose meter business, Reuters reports.

Woman indicted for fraudulent air mattress sales

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09/18/2013

PITTSBURGH – A DME saleswoman was indicted Sept. 17 for fraud related to $400,000 she billed to Medicare for air mattress sales prosecutors say were based on false and forged documents.

In brief: CMS delays F2F rule again, Golden endorses Reverie

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09/13/2013

BALTIMORE – CMS had no choice but to delay—for the second time—enforcement of its face-to-face rule until sometime in 2014, say industry stakeholders. “We just haven’t seen any further education,*” said Kim Brummett, senior director of regulatory affairs for AAHomecare.

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