42 CFR 421.210 - Designations of regional carriers to process claims for durable medical equipment, prosthetics, orthotics and supplies
| Cite as | 42 CFR 421.210 |
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12 practice notes
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...created by the Centers for Medicare and Medicaid Services (“CMS”) has its own DMAC. 42 U.S.C. § 1395m(a)(12); 42 C.F.R. §§ 424.32, 421.210(b), 421.404(c)(2). If the DMAC determines that the DME item is covered or otherwise reimbursable under Medicare, it will furnish a payment amount that i......
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Maximum Comfort, Inc. v. Thompson, No. CIV. S-03-1584 LKK/PA.
...processed by designated regional carriers called Durable Medical Equipment Regional Carriers ("DMERCs"). 42 U.S.C. §§ 1395m, 1395u; 42 C.F.R. § 421.210. At all relevant times, the DMERC for Maximum Comfort was CIGNA HealthCare One of the carrier's duties is to conduct post-payment audits to......
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Henry v. Azar, Civil Action No. 20-1144 (CKK)
...such as Alcresta, where they are medically necessary for enrolled beneficiaries. See 42 U.S.C. §§ 1395k(a)(2)(B), 1395k(a)(2)(I) ; 42 C.F.R. § 421.210(b)(2) ; disc. infra at 10. Accordingly, after Relizorb's FDA clearance in 2015, Alcresta applied with the Centers for Medicare & Medicaid Se......
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Gordian Med., Inc. v. Sebelius, No. CV 10-3933 CAS (FFMx)
...Contractors ("DME MACs") (formerly known as DME Regional Carriers or "DMERCs"). Id. §§ 1395m(a)(12), 1395kk-1; 42 C.F.R. §§ 421.200, 421.210(b), 421.404(c)(2). 4. Medical supplies and other items of DMEPOS must be furnished "incident to a physician's service" or by a "supplier" that possess......
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11 cases
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Maximum Comfort, Inc. v. Thompson, No. CIV. S-03-1584 LKK/PA.
...by designated regional carriers called Durable Medical Equipment Regional Carriers ("DMERCs"). 42 U.S.C. §§ 1395m, 1395u; 42 C.F.R. § 421.210. At all relevant times, the DMERC for Maximum Comfort was CIGNA HealthCare One of the carrier's duties is to conduct post-payment audits to......
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...created by the Centers for Medicare and Medicaid Services (“CMS”) has its own DMAC. 42 U.S.C. § 1395m(a)(12); 42 C.F.R. §§ 424.32, 421.210(b), 421.404(c)(2). If the DMAC determines that the DME item is covered or otherwise reimbursable under Medicare, it will furnish a payment amount that i......
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Henry v. Azar, Civil Action No. 20-1144 (CKK)
...such as Alcresta, where they are medically necessary for enrolled beneficiaries. See 42 U.S.C. §§ 1395k(a)(2)(B), 1395k(a)(2)(I) ; 42 C.F.R. § 421.210(b)(2) ; disc. infra at 10. Accordingly, after Relizorb's FDA clearance in 2015, Alcresta applied with the Centers for Medicare & Medicai......
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Mackenzie Medical Supply, Inc. v. Leavitt, No. 06-1630.
...DME Regional Carriers (DME Regional Carriers), processed DME claims within designated regions of the country. 42 U.S.C. § 1395u; 42 C.F.R. § 421.210. During the relevant time period, the DME Regional Carrier for Region C, which includes Maryland, was Palmetto Government Benefits Administrat......
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