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Latest Medical necessity Stories

2014-08-25 16:27:37

CMS tells DME MACs to only review necessity of repair, not original equipment WASHINGTON, Aug. 25, 2014 /PRNewswire-USNewswire/ -- The Centers for Medicare & Medicaid Services (CMS) is changing the way it deals with medical equipment repairs. In response to complaints from patients across the nation, CMS has admitted that patients are having trouble getting equipment repaired and has released new guidance on supplier documentation for durable medical equipment, prosthetics,...

2014-08-11 08:30:09

The United States Department of Justice resolved alleged scheme of over-admitting patients at nearly 120 Community Health System hospitals across the country. DURHAM, N.C., Aug. 11, 2014 /PRNewswire-iReach/ -- There is a thin line between not knowing coverage and fraud. In a recent settlement, the Community Health Systems, Inc has to pay $97million to resolve whistleblower lawsuits uncovered in federal courts across the United States, the reason being--medical necessity. CHS...

2014-06-17 23:05:11

After NY Governor Andrew Cuomo proposed amendment requests for New York's up-coming medical marijuana bill, the nation's ZocDoc for pot has custom-tailored it's system to fit Cuomo's desired mold. Utilizing a unique data mining approach, MarijuanaDoctors.com can effectively allow New York to implement the country's most regulated medical marijuana program with absolute ease. Long Island, NY (PRWEB) June 17, 2014 Medical marijuana means many things to a number of...

2013-09-30 23:35:14

As Cypress Benefit Administrators and its Argus Claim Review Division have reported in the past, medical necessity is becoming an issue consumers need to be aware of when considering their health care needs and reviewing the resulting medical claims. The U.S.-based third party administrator (TPA) specializes in employee benefits and shares a recent case study example where a patient was misdiagnosed and nearly received a $15,000 surgery that wasn’t medically necessary. Appleton, WI...

2011-08-12 14:22:00

Properly Prescribed, Power Wheelchairs Prevent Falls and Keep Thousands of Seniors and People with Disabilities Safe and Independent at Home, Lowering Healthcare Costs for Taxpayers WASHINGTON, Aug. 12, 2011 /PRNewswire-USNewswire/ -- A July 2011 report by the U.S. Department of Health and Human Services Office of Inspector General (OIG) about power wheelchair usage in Medicare back in 2007 has resulted in misleading articles published in several media outlets, including USA Today....

2011-01-20 12:04:00

WASHINGTON, Jan. 20, 2011 /PRNewswire-USNewswire/ -- The State of the Medicare Mobility Benefit has never been more troubling, and perplexing. For much of the last decade, Congress and regulators implemented policies and regulations limiting the effectiveness of the Medicare benefit that is used by senior citizens and people living with disabilities to obtain power wheelchairs prescribed by their physicians. But a series of changes ranging from the so-called competitive bidding program to...

2010-04-08 17:40:00

Beneficiaries Paid to Fake Symptoms to Justify Medicare Billing WASHINGTON, April 8 /PRNewswire-USNewswire/ -- Detroit-area residents Carlos Grana and Dwight Armstrong pleaded guilty today to engaging in a fraudulent medical testing scheme, announced the Departments of Justice and Health and Human Services (HHS). Grana, 36, and Armstrong, 32, each pleaded guilty today to one count of conspiracy to commit health care fraud before U.S. District Court Judge Lawrence P. Zatkoff in the...


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ramage
  • Boughs or branches.
  • Warbling of birds in trees.
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