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DME Telemedicine Scams

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  • Drop it into MD Drop it into MD 
    Participant
    Status: Physician
    Posts: 335
    Joined: 09/20/2018

    Yes for my personal patients.  I first caught wind of this because an older gentleman I see was requesting a penis pump and coincidentally came into the office a few days following the paperwork so I inquired about it and he knew nothing about it.  Most people I would figure would deny it because they are embarrassed but not this guy.  So I put more scrutiny into these requests and had my office call patients and 90% of them are garbage.  I think these companies just go fishing and hope we bite.

    I think it is a big waste of money, which is why I care,  but I never thought about fraud implications until now.

    #161056 Reply
     cfletch7 
    Participant
    Status: Other Professional
    Posts: 1
    Joined: 01/04/2019

    There are so many problems with this practice.  First there is an order things should occur.  Patient has a relationship with MD who determines an orthotic in necessary.  Patient then contacts a supplier of choice to provided the orthoses.  Second, these types of telemed visits do not comply with what Medicare requires as far a valid for telemed.  Finally, what patient really needs a back brace, bilateral knee braces, an ankle brace and wrist braces?  Anyone signing off on orders or the medical records they did not really create should understand this is at best abuse but more likely will be considered fraud.

    #178624 Reply
     Kencufc 
    Participant
    Status: Physician
    Posts: 20
    Joined: 08/12/2017

    Update: spoke to local assistant Federal Prosecutor, she said I don’t have anything to worry about as far as losing a medical license or fines since I realized what I was doing was wrong and stopped.  Also, I am cooperating with the special agent to gather evidence to possibly prosecute the “telemedicine” companies in question.

    I submitted a complaint to CMS, the response was a joke.  I received a boiler plate response about medicare fraud.  Yay tax dollars…

    I am genuinely disappointed by many of the comments on this forum from fellow physicians.  The purpose of this thread was to prevent other new physicians from making my same mistake.

    Good luck to everyone!

     

    #180315 Reply
     octopus85 
    Participant
    Status: Resident
    Posts: 94
    Joined: 08/13/2017
    Earnest refinancing bonus

    Update: spoke to local assistant Federal Prosecutor, she said I don’t have anything to worry about as far as losing a medical license or fines since I realized what I was doing was wrong and stopped.

    Click to expand…

    Be careful that you’re not being naive. What good is assurance from a federal prosecutor regarding your state medical license? Perhaps she’s right, but the world isn’t unicorns and butterflies, and you’re caught up in a medicare fraud scheme. I hope “submitting a complaint to CMS” didn’t involve admitting to anything you did.

    #180333 Reply

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