DME

By Jonathan Mattise, Associated Press

NASHVILLE, Tenn. (April 22, 2021)—State and federal authorities announced Wednesday that they have reached a $4.1 million settlement in a civil case that made claims of Medicaid and Medicare fraud against a now-shuttered pain clinic company and several of its owners, including a former state senator.

SAN DIEGO, Calif. & WAYNE, Penn. (March 25, 2021)—Mitchell | Genex |Coventry, a provider of cost-containment technology, provider networks, clinical services, pharmacy benefit management and disability management, announced the launch of the organization’s new specialty networks business, Apricus. The business will combine the best of what has been historically known as DMEplus and Priority Care Solutions.

LOS ANGELES (March 25, 2021)—The Wound Pros announced that Michael MacDonald would be joining its team as vice president of sales and marketing for eastern U.S. MacDonald brings a wealth of experience in sales, marketing, and training as well as operations experience in many areas of healthcare with a passion for aligning teams to transform business.

SAN FRANCISCO (March 25, 2021)—Better Health, the next-generation medical supplier offering a seamless e-commerce experience and white-glove service to 80 million Americans with chronic conditions, has announced its official launch with the close of a $3.5 million seed round and national contracts with leading health insurers, including Oscar Health and Humana.

WASHINGTON, D.C. (March 3, 2021)—The Centers for Medicare & Medicaid Services (CMS) has published the Revised January 2021 DMEPOS Fee Schedule. In the announcement, CMS stated that errors were identified in the original fee schedule that was published on Dec. 11, 2020 and this new fee schedule includes adjustments to 919 HCPCS codes. 

NEW YORK (March 2, 2021)—Tomorrow Health, a patient-first platform for home-based care, today announced a partnership with Geisinger Health Plan (GHP) to provide more than half a million patients with access to curated home durable medical equipment (DME) and supplies. 
 

WASHINGTON, DC (February 26, 2021)—The Council for Quality Respiratory Care—a coalition of the nation's leading home respiratory therapy providers and manufacturing companies—partnered with the American Association for Homecare and The VGM Group in sending a letter to the Centers for Medicare & Medicaid Services’ (CMS) Acting Administrator Elizabeth Richter urging the agency to finalize the

WASHINGTON, D.C. (February 24, 2021)—The Centers for Medicare & Medicaid Services (CMS) has announced that efforts are underway to support Texas in response to severe winter storms that have affected the state over the past several days. On Feb. 17, 2021, Health and Human Services Acting Secretary Norris Cochran declared a public health emergency (PHE) for Texas retroactive to Feb.11, 2021.

WASHINGTON, D.C.

WASHINGTON, D.C. (December 18, 2020)—The Centers for Medicare & Medicaid Services (CMS) has published the CY 2021 Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule. As of Jan. 1, 2021, CMS will continue to apply the CARES Act relief rates for rural and nonrural areas.

BIRMINGHAM, Ala. (December 3, 2020)—The United States Department of Justice (DOJ) recently released updates on its ongoing efforts to combat health care fraud and abuse by publishing the results of its 2020 takedown effort targeting, among others, fraud and abuse in the telemedicine and prescription drug industries (2020 Takedown).

NEW YORK (November 23, 2020)—In the wake of several private treaty bulk sales and an initial single-facility auction, Tiger Group will be conducting online auctions in December for the remaining $7 million in inventories plus other assets from two East Coast facilities operated by American Medical Depot (AMD), a major distributor of medical equipment and supplies that is now winding down its business.

WASHINGTON, D.C. (November 18, 2020)—The American Association for Homecare (AAHomecare) urged government officials to include DMEPOS suppliers in the Phase 1 Distribution of COVID-19 vaccine for front-line health care personnel.

FORT WORTH, Texas (September 22, 2020)—VERTESS, a health care mergers and acquisitions (M&A) advisory firm, announced the closing of four major durable medical equipment (DME) health care transactions in Q2 and Q3 2020, despite challenges brought on by the pandemic. Even during unprecedented times, 2020 has been steadily gaining momentum within the DME industry. With several successful transactions this year, traction continues to increase in this sector.

GREEN BAY, Wis. (September 8, 2020)—CorLife LLC, a provider of durable medical equipment, supplies and home health care services to workers’ compensation carriers nationwide, was recognized on Inc. Magazine’s “Inc. 5000” list for the second year in a row. CorLife rose to No. 277 with three-year revenue growth of 1,615.23% 

WASHINGTON, D.C. (August 28, 2020)—The Medicaid and CHIP Payment and Access Commission (MACPAC) submitted a letter to Health and Human Services (HHS) Secretary Alex Azar on the need for clear and timely guidance from the Centers for Medicare & Medicaid Services (CMS) to state Medicaid and CHIP programs when HHS elects to end the current public health emergency (PHE).

OVERLAND PARK, Kan. (August 25, 2020)—eSolutions, a health care technology company, is adding an enhancement to its Durable Medical Equipment (DME) Eligibility platform that allows DME providers to check for same or similar equipment items on multiple patients at once. This new enhancement, called Same or Similar Batch, verifies all Medicare HCPCS codes, including A, L and V codes, for same or similar equipment items.

SAVANNAH, Ga. (July 15, 2020)—A Florida man who operated a durable medical equipment company has been charged for his alleged participation in a Medicare kickback and telemedicine fraud scheme.

ASHEVILLE, N.C., (July 2, 2020)—Aeroflow Healthcare, a nationwide provider of durable medical equipment (DME), announced a donation of $10,000 to the Junior League of Charleston Diaper Bank.