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CGS announces reviews for back braces, test strips

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08/13/2020

ATLANTA – CGS has announced that the Jurisdiction B medical review department will begin complex post-pay service-specific reviews on back braces and lithium batteries for glucose monitors, according to the van Halem Group.

DME owner pleads guilty in latest brace fraud case

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07/16/2020

SAVANNAH, Ga. – Patrick Wolfe, operator of Wilmington Island Medical in Georgia, pleaded guilty to one count of conspiracy for his role in a scheme in which he paid kickbacks in return for leads for DME like orthotic braces and then billed Medicare Part B for the items.

Judge issues first sentence in ‘Operation Brace Yourself’

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05/08/2019

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.

O&P stakeholders take next steps to preserve access

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04/26/2019

WASHINGTON – O&P stakeholders plan to use a recent massive fraud takedown involving medically unnecessary knee and back braces to advance upcoming legislation.

Industry knew feds would bust ‘obvious’ fraud

‘It’s a clear kickback, black and white’
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04/12/2019

WASHINGTON – HME industry stakeholders aren’t surprised by a $1.2 billion fraud scheme involving medically unnecessary braces and they’re glad to see “bad actors” punished.

Feds bust $1.2B brace fraud scheme

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04/10/2019

WASHINGTON – The federal government has charged 24 defendants, including executives at five telemedicine companies, the owners of dozens of DME companies and three licensed medical professionals, for their roles in a healthcare fraud scheme that resulted in $1.2 billion i

Pacific Medical target of audit for braces

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01/04/2019

TRACY, Calif. – Pacific Medical did not always comply with Medicare requirements when billing for selected orthotic braces, according to an audit by the Office of Inspector General.

CMS extends comment period

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11/28/2018

WASHINGTON – CMS has extended a comment period for its plans to add new product categories to the competitive bidding program.

New online store offers braces and more

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03/22/2018

TAMPA, Fla. – A new online store, Braces, Bandages & Beyond, has launched. The site carries a wide array of items like neck and back braces, splints, and compression stockings, as well as DME like wheelchairs.

Free legal advice Friday

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Friday, September 22, 2017

When you speak to industry attorneys, you get a wealth of information, more than can fit into a 400-word story for the November issue. So here are some outtakes from my recent conversations with Jeff Baird:

Same or separate

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