Under the new rule, doctors will no longer have to get a DMERC
In response to complaints from physicians about having to obtain a DMERC
number for the sole purpose of dispensing pessaries, the CMS is considering dropping the requirement.
HCFA will have to expend money and staff time to train SNF staff on DMERC
policies and procedures, produce training materials and update manuals as part of its program integrity effort.
should be contacted for clarification on problem cases.
Lee said, "While the expanding base of loyal customers continued to drive the growth of our core diabetes testing supplies and respiratory pharmacy businesses, earnings during this quarter were impacted by charges related to investigations and anticipated DMERC
Since September 1999, PolyMedica has been reimbursed by all four DMERCs
based on its present pricing formula and previously had received no overpayment notices disputing that formula.
The Company also reported that the Region A DMERC
has accepted a check for $287,931, which was related to the refunds due Medicare for products returned to Liberty during the period January-December 2000.
We have been collaborating with the DMERC
in (the Southern states) on this investigation.
For example, we recently had an extensive onsite document request for 278 claims, without prior notice, from the largest Medicare DMERC
Some of Southern Therapy's clients are: AARP, Aetna, American Republic Insurance, Blue Cross Blue Shield, Hartford, Humana, Pacific Life and Annuity, Prudential Healthcare, United Healthcare, USAA, Wausau, along with Medicare Region B, C, D, DMERC
, and Medicaid of Texas.
Our understanding of the DMERC
business has grown and evolved over the past four years.
The CERT program measures the error rate for claims submitted to carriers, DMERCs
, and FIs.