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Recent Medicare Fraud Inquiries

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Medicare Billing

Need an expert in a medicare fraud case dealing with adult diapers. Accusations of over billing medicare, of billing for the wrong size, of nondelivery, and delivery of the wrong size.

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    Dorothy |Revenue, Billing/Coding Consultant

    I have worked on several Medicare fraud cases involving suspicious billing. Contact me if I may be...

    2.3 Hours Later
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    Sonja |RN-Clinical Specialist

    Adult diapers are not covered by Medicare.. in any circumstance....

    13.2 Hours Later
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    Sue |Manager

    Who is being accused of fraud an individual, family or a business?...

    2.1 Days Later
+4 Other Responses
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Medicare

I am searching for an independent medicare consultant to assist me to make medicare decisions.

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    Rita |Principle

    Dear medidzGVVw , Can you expound on your need? I have ample experience with the medicare payment s...

    9.7 Hours Later
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    Jeffrey |Experienced Healthcare Attorney and Inno

    Hi, As the former COO and general counsel of a multi-hospital health system, I have a great deal of...

    1.7 Days Later
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    al |President

    Question....are the decisions for an acute care hospital with skilled nursing and rehab or more of a...

    25.3 Days Later
+4 Other Responses
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Medicare Provider Enrollment

Looking for help to enroll our product in medicare. We're a high-tech rehab device company for stroke patients. Patients can use the device at home.

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    Craig |Managing Partner

    Hello, I am a retired CEO for a ***** medical equipment company and possess over 15 years ex...

    23 Minutes Later
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    Polina |Oversight & Monitoring Lead, Health Care

    what specific services are you seeking?...

    25 Minutes Later
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    Steven |Director of Medicare

    With over 20 years of Medicare and MAPD experience I can help with all Medicare questions for operat...

    34 Minutes Later
+9 Other Responses
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Medicare Provider Enrollment

We were initially set up incorrectly with medicare as an idtf, and medicare was denying all e/m codes. We re-sent the application with the change to a "group practice" so that we can bill e/m codes as well as x-ray codes. However, medicare is telling us that we may have to wait another 90 days for that to go through. We can't wait that long, we are a new start-up with limited resources....we need help with medicare.

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    Troy |CEO and President

    we have the experience to assist you at the corrections needing to enable the lack of denials for yo...

    2.7 Hours Later
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    Gene |Principal

    If you already have a point of contact (we will need to know to whom you are speaking)and if they al...

    4.1 Hours Later
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    Will |VP & General Counsel

    My name is Will Ronning and I am with Coastal Medical Billing. We handle enrollment issues as well ...

    6.7 Hours Later
+4 Other Responses
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Insurance Fraud Investigation

We're looking at making an investment in an investigative professional services firm that specializes in all aspects of insurance fraud investigations. I would like to have one or more experts answer some questions about the outlook for the fraud portion of the insurance industry and characteristics to look for in a desirable company. Further, i'd like to discuss valuation and industry comps.

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    Seshagiri |Head - Insurance and Risk Management

    I have been an insurance professional for the last 33 years and with a global experience in all wing...

    9 Hours Later
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    JAGENDRA |Zintro Expert

    ***** General Insurance Industry since 1977. Was a resource person of an *****...

    9.4 Hours Later
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    Daniel |Principal

    I'm a thought leader in the fraud and *****stry with extensive experience working in t...

    11.9 Hours Later
+28 Other Responses
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Medicare Provider Enrollment

We are a small home health agency and have been in business for 9 years. We are in process of medicare application and have completed the enrollment application through pecos. We do need a consultant to assist us in getting all requirements satisfied and ready for a survey visit.

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    New |

    I can assist with this. Just successfully guided a client through this process with a start up - AHC...

    42 Minutes Later
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    Ray |Founder and CEO

    Where are you located? I can assist with survey. Very affordable...

    47 Minutes Later
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    Craig |Managing Partner

    I am a retired CEO from a ***** medical equipment company and have been through the process ...

    1 Hour Later
+6 Other Responses
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Medicare Coding

I am an attorney in florida handling personal injury protection (pip) issues. Pip insurers utilize medicare fee schedules, coding and payment methodologies. I would like to discuss a particular coding methodology called multiple procedure payment reduction (mppr). Specifically i would need someone who understand mppr and can look at an explanation of benefits and determine whether an insurance company is properly reimbursing the doctor.

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    krishnaraaj |

    This is krishnaraaj from INDIA. I am a CPC certified coder With 5 + years of medical coding experie...

    3.5 Hours Later
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    Ray |Founder and CEO

    I work with attorneys in the southeast in personal injury cases, managing and lowering medical bills...

    4.7 Hours Later
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    Kathleen |Medical Coding Specialist

    Hello, I have been a Certified Coder for almost 15 years. I understand and have had experience with...

    8.3 Hours Later
+19 Other Responses
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Medicare Advantage Operations, Start Up

I am looking for somebody who can start a medicare advantage plan company? A lot of details in it. I need somebody to contact me please

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    Navin |Vice President [Sales & Marketing]

    Hello, You can reach me ***** ***** (myndworks). Navin...

    21 Minutes Later
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    Joseph |President & CEO

    I am a former CEO and Regional VP for United Healthcare with significant experience in managed care ...

    6.3 Hours Later
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    Michael |CMSO , Chief Medical Strategies Officer

    My company is involved with virtual medicine from *****, pharma adherence programs and EDUCAT...

    7.4 Hours Later
+10 Other Responses
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Florida Reimbursements/medicare

We are looking for experts to help address the defense of florida no fault charges. Currently payments are tied to medicare and knowledge of the medicare reimbursement schedules is a must. Once reimbursement switched to 200% of medicare we experianced a flood of medicare type fraud. Knowledge in this area would be plus. We are looking for experts to testify in court and affidavit form.

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    Evan |Consultant

    Hi I am a Medicare coding, billing, compliance consultant well versed in the fee schedule. I am a ...

    56 Minutes Later
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    Carla |VP of Development

    I saw your post and wanted to respond. I've worked for over 25 years in hospital and physician reve...

    3.7 Hours Later
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    Dawn |Partner

    Very interested in assisting- expert with Medicare and reimbursement. Are you looking for a review o...

    21.9 Hours Later
+3 Other Responses
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Medicare Compliance

Hello, i work for a global medical device company and am looking for assistance on medicare billing codes. Essentially, i am trying to do a crosswalk of what drg, icd9, icd10 and cpt codes our product offerings would be used in. My end goal is to understand volumes of procedures conducted to get an idea of market size within a hospital system based on what is submitted to cms for claims.

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    Scott |Healthcare Consultant

    I have been in healthcare development for almost 30 years. I can help you perform an in depth analy...

    2.1 Hours Later
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    Dorothy |Revenue, Billing/Coding Consultant

    I have done similar projects. Can probably help. ...

    5.1 Hours Later
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    Nikolina |Regulatory Affairs Manager

    Dear sir/madam, I would like to offer You my services as a *****irs manager. My CV I wou...

    16.5 Hours Later
+10 Other Responses
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Medicare Accredited Management Service Organization

I would like to setup an medicare accredited management service organization (mso) in new york city. I would like to get some help with that. Thanks chris

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    Polina |Oversight & Monitoring Lead, Health Care

    Hi Chis, I support ***** starting in MSOs, including contracting, *****t...

    1.6 Hours Later
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    Steven |Director of Medicare

    I can help by *****oductions to MSO owners and or MSO managers....

    1.9 Hours Later
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    Jeff |Principal Consultant

    Thanks for contacting me. I have limited knowledge of MSOs but I get the sense that they work most...

    2.2 Hours Later
+5 Other Responses
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Medicare Coding

My company automates annual wellness exams for medicare patients. We would like to make sure that all of the codes we would like to bill for have met the requirements.

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    Robert |Medical Director

    I'm board certified in Preventive Medicine and have been a Medical Director and consultant to the Ma...

    6.7 Hours Later
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    Casey |Revenue Cycle Manager

    Hello Certified coder , 15 yrs billing experience. Very familiar with Medicare guidelines. I'd like...

    1.2 Days Later
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    Gioconda |President

    I am a former medicare employee who has ***** medical ********** CPT codes t...

    2.6 Days Later
+6 Other Responses
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