Palmetto GBA, LLC. awarded by CMS contract to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

Tony Barr

Description

Title:

Palmetto GBA, LLC. awarded by CMS contract to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

Creator:

Tony Barr

Date:

10/14/2006

Text:

The Centers for Medicare & Medicaid Services (CMS) announced today award of
a contract to the Durable Medical Equipment, Prosthetics, Orthotics,
 and Supplies (DMEPOS) Competitive Bidding Implementation Contractor (CBIC),
Palmetto GBA, LLC. Palmetto is located in Columbia, South Carolina.
 
 < <URL Redacted>>
<URL Redacted>
 
The first CBIC contract cycle will begin September 29, 2006.
 
The same contrator was highlighted in national news in the Miami Herald ,
Anatomy Of A Scandal and broke May 10,1995 in the Miami Herald.
 
In four months last year , 21,000 seniors in Miami -Dade suddenly needed
artificial legs or arms. Medicare paid the bill to Blue Cross Blue Shield
,BCBS paid Palmetto GBA and Palmetto GBA paid unlicensed providers $122
million w/o questioning..
 
The devices were never ordered nor recieved.
 
It seems the trade industry, AOPA, and representatives of their sister
organizations whom I was on a conference call with shortly after the
scandal broke in August 2005, didn't want to ruffle feathers of Blue Cross
and Blue Shield of CMS by taking a legal course of action.
 
Its up to all of us in Florida take a hold of this opportunity to expose
this and make a statement that unregulated providers are not legally able to
provide these services in Florida. CMS and Blue Cross Blue Shield is taking
part in the violation of the law by allowing payments to contractors and
subcontractor whom are not duly licensed.
 
A subsidiary of
< <URL Redacted>
09455--/free-co-factsheet.xhtml> Blue Cross & Blue Shield of South Carolina,
Palmetto GBA oversees Medicare benefits for people in 16 US A , most of
which are in the Southeast and Midwest, as well as in Puerto Rico and the US
Virgin Islands. Palmetto GBA's services include the processing and payment
of health insurance claims, customer service support, and payment
safeguarding services that seek to eliminate Medicare abuse, fraud, and
waste. Palmetto GBA is one of the largest Medicare contractors in the United
States -- processing more than 125 million Medicare recipient claims
annually.
 
http://www.hoovers.com/free/co/factsheet.xhtml?COID=123038
< http://www.hoovers.com/free/co/factsheet.xhtml?COID=123038&cm_ven=PAID&cm_c
at=OVR&cm_pla=CO4&cm_ite=palmetto_gba>
&cm_ven=PAID&cm_cat=OVR&cm_pla=CO4&cm_ite=palmetto_gba
 
I wonder how many private insurance companies are aware that they also have
been defrauded by these DME's.

Excuse me ... is something wrong with this picture ?

 

                          

Citation

Tony Barr, “Palmetto GBA, LLC. awarded by CMS contract to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS),” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/227498.