Page 4 of6
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
service Coral Gables, FL area service Miami zip 33172 area service Miami zip 33172 area service Miami zip 33172 area service Hialeah, FL area service Miami 33155 area service Miami zip 33172 area service Tamarac, FL area service Miami Lakes, FL area service t-Iiami zip 33135 area service Pine Crest Area
Page 1 of 29
D.O. & G. Rental Equipment, Inc
Dubrock Medical Equipment, Inc
Baizan Medical Equipment, Inc
Tebar Medical Supplies and Equipment
Versailles Home Health Medical Equipment
Doctor's Choice, Inc
Ambulatory and Professional Medical Eq.
Dependable Medical Supply
Doctors Medical Rentals Corp.
R.A. Home Medical Equipment
Professional Medical
HCPCS Code
Item Description Hosp bed fixed ht wI mattres
Rental or Purchase
Product Weiqht
Total Estimated Capacity
E0250
Purchase
0.0179047386 26
E0251
Hosp bed fixd ht wI 0 mattres
Purchase
0.0001819797 18
E0255
Hospital bed var ht wI Purchase mattr
~.0347598952 132
E0256
Hospital bed var ht wlo Purchase matt
0.0005185710 18
E0260
Hosp bed semi-electr
wI matt
Purchase
0.7708492018 f4365
E0261
wlo
Hosp bed semi-electr mat
Purchase
0.0234600947 103
E0265
~I
Hosp bed total electr mat
Purchase
0.0096498988 18
t:lodel rvlodels to be Bid Price Provided Name Invacare - Manual Bed Package - BED 30IVC 694.03 Medline - manuel - MDR107000 ~PI HI"1E Provider - manuel - VP1231-4 Medline - fixed-height bed - IVIDR1551NP Invacare - Manual Bed - 5307IVC VPI HME Provider - manuel - VP1231-4 675.0 Medline - manuel - MDR107000 Medline - Fixed height - MDR1551 Invacare - Manual Bed Package - BED 30IVC IVPI HME Provider - MUlti-height manuel 775.0 bed - VP1231-4 Medline - manual bed package MDR107000 Invacare - Manual bed - 5307IVC Medline - manual bed package 705.0 MDR107000 IVPI HME Providers - Multi-height manual bed - VP1231-4 Invacare - Semi-elec. bed package - BED 28IVC Medline - semi-elec. bed package MDR107002 Probasic - Semi-elec. bed package - HB1D 850.0 IVPI HME Providers - Semi-elec. bed package - VP1232-4 Drive - Semi-elec.bed package - 15030: 15019, 15007 Invacare - Semi-electric bed - 5310rvC fl-1edline - semi-elec. bed - I"1DR107002 Probasic - semi-elec. bed - HB1D 805.0 ~PI HME Providers - semi-elec. bed VP1232-4 Drive - semi-electric bed - 15030, 15230, 15004 Invacare - Full Electric Bed Package - BED 28IVC Medline - full elec. bed package MDR107003 IVPI HME Provider - full e!ec. bed package - 1294.79 Np1213-4 Probasic - full elec. bed package - H83D Drive - full electric bed package - 15235, i'vlanufacturer
~--~-
I
I
..
-
......
_
I
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CHSS Case 1:08-cv-00441-LMB
~
Page 5 of6
Document 10-4
Filed 06/18/2008
Page 2 of 29
E0266
Hasp bed total elec
'wlo matt
Purchase
0.0000241692 18
l::>Ul'::l l::>UU/ Invacare - Full Electric Bed - 5410IVC Medline - full elec. bed - MDR107003 Probasic - full elec. bed - HM3D ~PI HME Provider - full elec. bed - VP1213 1193.4
f4 Drive - fuJi elec. bed - 15235. 15033, 15005 Invacare - Deluxe Innerspring Mattress 84 5085-84 King bedding - Innerspring mattress E0271 151.22 Medline - Innerspring - MDT230480A Probasic - Inner Spring Mattress - HBMATC Medline - Split spring beds - MDR230980B APM - Deluxe Foam Mattress - HB10200 Span America - Geo-mattress - PR8035-13 156.74 KING BEDDING - FOAM MATTESS - E0272 Medline - Odyssey - MDT230380A 30.85 Posey - Bed Cradle - 6430 Invacare - Manual Bed Package - BED 619.34 30IVC
Invacare - Manual Bed - 5307IVC Invacare - Manual Bed - 5307IVC f463.22 664.54
E0271
Mattress innerspring
Purchase
0.0149855998 18
E0272 E0280 E0290 E0291 E0292 E0293 E0294 E0295 E0296 E0297 E0300
Mattress foam rubber Bed cradle Hasp bed fx ht rails wlm Hasp bed fx ht
~/o
Purchase Purchase
0.0054394862 18 p.0006923758 18 0.0002409809 18 0.0000323440 18 0.0001834014 18 p.0000529589 18 0.0019203832 18 p.0013122441 18 p.0000071086 18 0·0000014217 18 0.0000142172 18
wlo
Purchase
wlo rail
Purchase
Hasp bed var ht wlo Purchase rail wlo
Hasp bed var ht wlo
Purchase rail wi Hasp bed semi-elect
Purchase wi mattr Hasp bed semi-elect
Purchase wlo matt
Hasp bed total elect wi
Purchase matt Hasp bed total elect
Purchase wlo mat Enclosed ped crib hasp
Purchase
~rade
Invacare - Manual Bed Package - BED 582.36 30IVC
Invacare - Semi-electric package - BED 899.09 281VC
Graham Field - Semi-electric bed - WL0208 875.83 Graham Field - Whisperlite II Low Bed WL0658-PKGSPRG
Graham Field - Whisper Lite Full Electric WL0408
Not Available - See Notes - No SADMERC Invacare - IVC Bariatric Bed - BAR600NC Probasic - Bariatric bed - HB4 Drive - HD hospital bed - 15300-1HR, 15300BV-1 "PI HME Providers - bariatric bed VP1243-4 Invacare - Bariatric Bed - BAR1000 Drive - Extra Heavy duty hospital bed 15302-1HR, 15302BV-1 Invacare - Bariatrlc Bed Package BARPKGNC Drive - heavy duty extra wide - 15302 1HR, 15302BV-1 Invacare - Bariatric Bed Package BARPKG750 Drive - extra hvy duty extra wide - 15302 Pkg-15302BV-PK Invacare - Reduced Gap Half-Length Bed Rl - 6630 Probasic - four bar half rails - 7035-4 Medline - half rails - MDS89697 lnvacare - Reduced Gap FUll-Length Bed RI - 6629 Medline - siderail - MDS89690 Probasic - Full-length bed rails - 6034 Posey Co. - Posey Bed Ene. Safety System 1167.79
~94.78
2466.64
E0301
HD hasp bed, 350-600 Purchase Ibs
~l.0005633551 18
2228.76
E0302
Ex hd hasp bed > 600
Ibs
Purchase
0.0000220366 18
6071.15
f
E0303 Hasp bed hvy dty xtra Purchase 'wide 0.0073150854 18
2376.66
E0304
Hasp bed xtra hvy dty
pc wide
Purchase
p.0002747467 18
6414.77
E0305
Rails bed side half length
Purchase
0.0006795804 t8
121.18
E0310
Rails bed side full length Bed safety enclosure
Purchase
0.0023383677 18
140.06
E0316
Purchase
0.0001201350 18
Qnnn
1786.83
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Page 6 of6
Case 1:08-cv-00441-LMB Document 10-4 Filed 06/18/2008
vuuu
Page 3 of 29
.
.>.
iTrapeze bar attached o bed Trapeze bar heavy duty attached to bed Trapeze bar heavy duty free standing Trapeze bar free standing Purchase p.0862373960 65
E0910
E0911 E0912
Purchase Purchase
0.0001691842 18 0.0008942595 18
E0940
Purchase
p.0191547B26 ~B
~raham Field - Versa-Helper Trapeze 2800GA Probasic - Trapeze - 0035 Mediine - fixed offset trapeze bar MDS80615T Gendron - Over Bed trapeze and frame 4045 Graham Field - Bariatric Trapeze - 2940B Drive - Trapeze bar Heavy duty 13049 IGraham Field - Versa Helper/Floor Stand ~800GA/2840A Drive - trapeze bar free standing - 13017 Probasic - trapeze bar with base - 1035, 0035
163.36
407.9 957.39
249.23
Form Approved OMB No. 0938-1016
I CLOSE
I
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CBSS
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page Page 4 of 29
1 ot 4
Page 79
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7/9/2007
CBSS
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 2 of4 Page 5 of 29
MEDICARE DMEPOS COMPETITIVE BIDDING PROGRAM
For eMS Use Only
Bidder No : 1000155 Date Application Received :
ompetitive Bid Area : Miami-Fort Lauderdale-Miami Beach, FL
upplier's Identifying Information
upplier's Legal Business Name: CHaRI CORP Primary Supplier's Legal Business Name (if appli
Miami-Fort Lauderdale-Miami Beach, FL - Enteral Nul
Individual Form MUST be submitted for each Product Category. Primary Supplier Completes for Netv Information supplied must be aggregate information for the Network.
0-250,000 1 million - 3 million
250,000 - 500,000 3 million - 6 million
500,000 - 750,000 6 million - 10 million
750,000 - 1 million more than 10 millie
0-100/0 51-60%
11-20% 61-70%
21-30% 71-80%
31-40% 81-900/0
41-50%
91-100°.10
0-25 101-300
26-50 301-500
51-75 501-750
76-100 751-1000 more than 100
0-10% 51-600/0
11-20% 61-700/0
21-300/0 71-80%
31-40°.10
81-90%
41-50°.10
91-1000/0
Page 80
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7/9/2007
CBSS
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 3 of4 Page 6 of 29
Counties: Broward, Hendry, Martin, Miami-Dade, Palm Beach
Zipcodes:
HCPCS CODE
NO. OF TOTAL
UNITS PROVIDED
NO. OF UNITS PROVIDED TO MEDICARE BENEFICIARIES
B4035 84150 84154
70000 1150000 210000
32000 500000 96000
Current
Staff (manpower) Financing (funding levels) Facilities (square footage, facility)
Expansion Plan
185 $8,357,180 35 facilities 130,000 sa ft
computer bar-code system
158 $6.428,600 32 facilities, 118,720 so ft
Inventory Control (method of tracking inventory) manual Distribution Methods (vehicles, mail order) Other----.lliJlL
62 vehicles, Mail Order: UPS/USPS
75 vehicles Mail order: UPS/USPS/FedEx/DHL
null
Legal Name
A&C Medical Rental
Ambulatory and Professional Medical Eq.
Rni7nn Mprlirnl Fnllinmpnt Inr
Expected Function
service Miami zip 33135 service Miami zip 33172
c:;prvirp Minmi 7in 1117?
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7/9/2007
CBSS
Page 4 of4
Case 1:08-cv-00441-LMB Document 10-4 -_.__.... __ .__ . -.,_.,.... _... _.. Bi County Medical Supply D.D.&G. Rental Equipment Inc Dependable Medical Supply Doctor's Choice Doctors Medical Rentals Corp. Dubrock Medical Equipment Inc Jorcyn Medical Services Inc R.A. Home Medical Equipment Inc. Superior Care Medical Supplies Tebar Medical Supplies & Equipment Versailles Home Health Medical Equipment
Filed 06/18/2008 -_..._- ..._.... _.,. ---' -
Page 7 of 29
service Miami zip 33016 service Coral Gables, FL area service Tamarac, FL area service Miami zip 33155 service Miami Lakes; PL area service Miami zip 33172 service Virginia Garcfens, FL area service Miami zip 33135 service Medley, FL area service Miami zip 33172 service Hialeah, FL area
____.__ , .... ..... _·,·,w,
~
FORM B: BIDDING SHEET
I,,·,""
<-
T'>:",-_
~-."~-~,:~x"'..:o»)""""".
__
,.-~_·>--",,,:I;- .-e-·--":.:-}<~;'~~"""'''''':
·
·.
~--4~''_-)i;o)}Y' ;'n;,-=~x
..
__ ___
~
~~~
____._ _·_"__
-_~_"""
.·""",,-,,,,,,·_..,,,...,...........,··,-"'.·,
c'_
~.
__"....,.....,_ _ .............. ....
~,
_.~.~
............""',....
~~
__
'~~~»-,
........
,.~.
~""._._
.·
_,~.
>
,._
_~""'""
"~.,.
=-~_~,
~
SUPPLIER'S IDENTIFYING INFORMATION
PRIMARY SUPPUER'S LEGAL BUSINESS NAME (IF
!'-P.P~~~~~l:'____"_'~M .....'"""_.y!.,>.....
_
·~w",·~~·_...-~_~~_~-..
SUPPUER BIDDER NO. 1000155
SUPPUER'S LEGAL BUSINESS NAME: CHORI
..... · __,.",.,...,· _ _ ·_......________
~
......._ _ _ _.·
A~~·
'~r_N'AM»""""'_"-
..
_.,~_""-.,._
....
~,...,.,..<>
.· ',",--
~ . .
,_~
~ _ ~ _ " . _ ~ ~ , . . ' 7 " ' ~
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~"',""".
_ _,_".__ ...
.-L'~_'"
._-~
_.~-
...."....
.........<"'~-...........,,~;
;';;t;
,';
HCPCS Code 84034 84035 84036 84081 84082 84083 84086 84149 84150 84152 84153 84154 84155 B9000 B9002 E0776
Item Rental or Descriotion Purchase Enter feed supkit syr by Purchase (Jay Enteral feed supp pump Purchase loer d
Enteral feed sup kit gray
Purchase bv
Enteral ng tubing w/
Purchase Istvlet
Enteral ng tubing w/o
Purchase stvlet
Enteral stomach tube
Purchase levine Gastrostomy/jejunostomy Purchase ube EF blenderized foods Purchase EF complet w/intact Purchase nutrient
EF calorie
Purchase dense>/=1.5Kcal
EF hydrolyzed/amino
Purchase lacids EF spec metabolic Purchase noninherit EF incomplete/modular Purchase Enter infusion pump w/o Purchase alrm
Enteral infusion pump w/
Purchase ala Iv Dole Purchase
Product Weiqht
Total Estimated Capacity
p.0123856160 20500 p.0383174109 141000 p.0049994448 17000 1CJ.000001597214100 1(J.000002322513700 0.0000016404 ~600 0.0001095402 2600 0.0032133805 18500 p.5049960396 1150000 P.1840815263 122000 P.0152416041 f'J2000 0.2310759603 205000 0.0054088251 ~1000 p.0000027239 ~OO 1<),0000624843 ~500 0.0000998838 2100
Models f'.1anufacturer IMOdel Namel Provi( Medline - Feeding/Irrigation Syringe ;~ DYND70641 Kendall ~ 1000ml Pump Set - 713650 Medline - Gravity Feeding Set - ENT70! Ross - Fle)EFlow Enteral Feeding Tube·
"0
,t,
Ross - FlexiFlow Feeding Tube - 00477'1 !;"
~endall i ~tomach Tube - 155710
'., . .
...·.~ t~~ Ross - E'l.SV .feed Gastro Tube - 50112 ...).
;iji>
'.
Novartis - Cemoleat - 14010000 Novartis - Boost - Depends on flavor Novartis - Boost Plus - depends on flav Novartis - Tolerex - 04580500
'.:~:
.~:
..
Novartis - Boost Diabetic - depends on "ii .·. Novartis - Boost Breeze - 27030200 I'JA - See Notes - NA Kendall - Kangaroo EPump - 382400 IAttentus - IV Pole - MDS129
>
Form ADDroved OMB No. 0938-1016
I I
fjj1fl1L?' Wi"
·ce."
·.·..·
',"
,/;'.t.:'.. e ·.··'·""··" ij 'ii;
. ''''';''';/':,'''jiiw'>o .,;;teL.i'i·',M
.....
;
.iji.5';;';'
'ii'1'!'I;'\; . . . .
··t;::: ;'
Page 82
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7/9/2007
CBSS
Page 1 of5
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 8 of 29
Page 83
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Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 9 of 29
Page 2 of
MEDICARE DMEPOS COMPETITIVE BIDDING PROGRAM
For eMS Use Only
Bidder No : 1000155 Date Application Received: Competitive Bid Area : Miami-Fort Lauderdale-Miami Beach, FL
Supplier's Identifying Information
Supplier's Legal Business Name: CHORI CORP ;Primary Supplier's Legal Business Name (if applicable) :
FORM B: BIDDING SHEET FOR
Miami-Fort Lauderdale-Miami Beach, FL - Walkers
Individual Form MUST be submitted for each Product Category. Primary Supplier Completes for Network.
Information supplied must be aggregate information for the Network.
0-250,000 1 million - 3 million
250,000 - 500,000 3 million - 6 million
500,000 - 750,000 6 million - 10 million
750,000 - 1 million more than 10 million
0-10% 51-600/0
11-200/0 61-70%
21-30% 71-80%
31-40% 81-90%
41-50% 91-100%
0-25 101-300
26-50 301-500
51-75 501-750
76-100 751-1000 more than 1000
0-10% 51-600/0
11-20% 61-70%
21-300/0 71-800/0
31-40% 81-900/0
41-50% 91-100%
Page 84
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:BSS
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 10 of 29
Page 3 of
counties: 8roward, Hendry, Martin, Miami-Dade, Palm Beach
Zipcodes:
....CPCS CODE
NO. OF TOTAL UNITS PROVIDED
NO. OF UNITS PROVIDED TO MEDICARE BENEFICIARIES
E0135 E0143 E0156
972 4437 403
268 2148
136
Current
staff (manpowet") Financing (funding levels) Facilities 158 185
Expansion Plan
8.357,180
6.428,600 32 facilities 118,720 sg ft
(squar~ footage, facility)
35 facilities 130,000 sg ft
electronic bar-code systems Vehicles: 75 Mail-order: UPS/USPS/DHUFedEx null
Inventory ContrOl (method of tracking inventory) manual Distribution Methods (vehicles, mail order) other--'l!J1L Vehicles: 62 Mail-order: UPS/USPS
Legal Name
Jorcyn Medical Services Superior Care Medical Supplies Bi County Medical Supply A&C Medical Rental D,D.&G. Rental Eauioment Inc
Expected Function
service Virginia Gardens, FL service Medley, FL area serving Miami zip 33016 serving Miami zip 33135 Servina Coral Gables. FL Page 85
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7/19/200L
Page 4 of5
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Serving Miami zip 33172 serving Miami zip 33172 serving Miami zip 33172 serving Hialeah, FL area serving Miami zip 33155 serving Miami zip 33172 serving Tamarac, FL area service Miami Lakes, FL service Miami zip 33135 service Pine Crest Area
Page 11 of 29
Dubrock Medical Equipment Inc
Baizan Medical Equipment Inc
Tebar Medical Supplies and Equipment
Versailles Home Health Medical Equipment
Doctor's Choice
Ambulatory and Professional Med. Equip.
Dependable Medical Supply
Doctors Medical Rentals Corp.
R.A. Home Medical Equipment, Inc.
Professional Medical
HCPCS
Code
Item
Description
Rental or
Prot1uct
Purchase
'vVeiqht
Total Estimated Capacity
l\ianufacturer
I
iVloclel
Name
1l'-10de15 to be
Provided
Bid Price
~4636
Handgrip for cane etc Purchase
[<1.0003747787 f:M
1A4637
Repl tip [cane/crutch/walker
Purchase
10.0036547504 18
E0130
Walker rigid adjust/fixed ht
Purchase
~.0015448430 18..
E0135
Walker folding adjust/fixed
Purchase
p.1089049783 t330
E0140 E0141
Walker w trunk support Rigid wheeled walker adi/fix
Purchase Purchase
~.OO01920412 18
Drive Medical - Replacement Quad cane HandGrip - 10338B 1S0uthwest Technologies - Hand grip ISWTCRPD31 IDrive Medical - Replacement Cane Tip 10322-2 Invacare - Crutch tip - INV6134 Invacare - Crutch tips - INV6135 Invacare - Cane tips - INV408504 Invacare - Cane tip - INV408524 Invacare - Cane tips - INV408534 Medline - Replacement tips for walkers MDS86615T rn=I Healthcare - Universal Stroke Walker 2112 Medline - Rioid walker - MDS 86204 K;raham Field - Single Release Folding Walker - 605070A ~PI HME Providers - Dual Release - vp· ~06 Probasic - Sure Lever Release - 1080 Medline - Two-Button Walker - MDS86410 Mulholland Positioning Systems ~alkabout Adult - WA4 Drive Medical - Glider Walker - 10219C-2
13.15
1.58
54.03
~5.74
280.2 81.95
0.0118041240 18
E0143
~alker folding wheeled Purchase 'rNjo s
10.6807428974 2580
EOl44 E0147 E0148
Enclosed walker w rear Purchase !seat Walker variable wheel Purchase resist Heavyduty walker no !wheels Heavy duty wheeled Iwalker Purchase
10·0005907811 18 10.0014586527 18 10.0032028217 18
E0149
Purchase
~.OO643504&:1 18
__ L-. ______________
--------.
Drive - Clever Walker wjwheels - 10237-2 Probasic - Sure Lever Release - 1085 IVPI HME Providers - Dual Release 3" IWheels - VP-6006AW3 k55.0 IVPI HME Providers - Dual Release 5" IWheels - VP-6006AW5 Medline - Two-Button Walker wjwheels MDS86410W Merry Walker - Merry Walker Ambulitation 253,84 Devi - 211024 Medium lWinmedjDrive Medical - Dannie Walker 1452.8 1"720 IGraham Field - Dual Release Ex. Wide Folding - 604070A 103.47 IProbasic - Bariatric Walker - 1090 ~raham field - Walkabout 4-wheel rollator RJ4400K 180.43 Probasic - Bariatric Walker Wheels 5" 1957 ~_________________.._ __.___..______..' ..
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.
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 12 of 29
50.51
lE6154
'.
Walker platform attachment
Purchase
0.0149621829 23
E0155
Walker wheel lattachment,pair
Purchase
P.0304823208 34
E0156 E0157 E0158
Walker seat attachment Walker crutch attachment Walker leg extenders set of4 Brake for wheeled walker
Purchase Purchase Purchase
0.1309950655 162 0.0004481545 18 0.0025464763 18
Drive - Univ. Plat. walker/crutch att. 10222PA Drive - Uni. walker wheels w/rear glid 10111 Medline - 3" wheels pair - MDS86615W Medline - 5" wheels pair - MDS86615W5 Probasic - 3" wheels pair - 1051 Probasic - 5" wheels pair - 9057 Drive Medical - Replacement Seat Depends on walker Probasic - Seat for Walker 1026 No Approved SADMERC - NA - NA Medline - Walker extension legs MDS86615E Probasic - Extension legs - 1049 Drive - Rear Glide Brakes - 10104 ~PI HME Providers - Brakes for walker ~P-430L-6A Probasic - Glide Brakes 1055
24.12
18.85 59.62 23.42
E0159
Purchase
0.0016600852 ~5
15.74
Form Approved OMB No. 0938-1016
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"
Page 1 of4
Document 10-4 Filed 06/18/2008 Page 13 of 29
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'-".lJUU
Page 2 of
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 14 of 29
MEDICARE DMEPOS COMPETITIVE BIDDING PROGRAM
For eMS Use Only
Bidder No : 1000155 Date Application Received : Competitive Bid Area : Miami-Fort Lauderdale-Miami Beach, FL
Supplier's Identifying Information
Supplier's Legal Business Name: CHaRI CORP Primary Supplier's legal Business Name (if applicable) :
FORM B: BIDDING SHEET FOR Miami-Fort Lauderdale-Miami Beach, FL - Negative Pressure Wound Therapy Devices and Accessories
Individual Form MUST be submitted for each Product Category. Primary Supplier Completes for Network. Information supplied must be aggregate information for the Network.
0-250,000 1 million - 3 million
250,000 - 500,000 3 million - 6 million
500,000 - 750,000 6 million - 10 million
750,000 - 1 million more than 10 million
0-10 % 51-600/0
11-20% 61-700/0
21-30% 71-800/0
31-40% 81-900/0
41-50% 91-100%
0-25 101-300
26-50 301-500
51-75 501-750
76-100 751-1000 more than 1000
0-100/0 51-60%
11-200/0 61-70%
21-300/0 71-80%
31-400/0 81-90%
41-500/0
91-1000/0
Page 89
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7/19/2007
Page 3 of4
Case 1:08-cv-00441-LMB
Document 10-4
Filed 06/18/2008
Page 15 of 29
Counties: Broward, Hendry, Martin, Miami-Dade, Palm Beach
Zipcodes:
HCPCS CODE
NO. OF TOTAL
UNITS PROVIDED
NO. OF UNITS PROVIDED TO MEDICARE BENEFICIARIES
A655a A7aaa
E24a2
18
18
18
a
a a
Current
Staff (manpower)
Financing (funding levels)
Facilities (square footage, facility)
Expansion Plan
185 $8,357,180
null null null null
158 $6.428,600
null
Inventory Control (method of tracking inventory) null Distribution Methods (vehicles, mail order) Other--OYlL null null
Legal Name
PROFESSIONAL MEDICAL EQUIPMENT
Expected Function
MIAMI-DADE AREAS AND BROWARD AREAS
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HCPCS Code !A6550
~7000
E2402
Item Rental or Product Total Estimated Description Purchase Capacity WeiQht Neg pres wound Purchase p.9351832065 18 her drsg set Disposable Purchase p.0575328230 18 tanister Neg press wound therapy Purchase p.0072839705 18 pump
Manufacturer
I
Model Name
I
rvlodels to be Provided
Bid Price 23.0 17.74 12000.0
Blue Sky - Miller Dermivex - 500.7026 Medline - Suction Canisters - DYND44704 Blue Sky - Versatile 1 - 100.010
Form Approved OHB No. 0938-1016
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P.O. Box 14010
FORT LAUDERDALE. FLORIDA3~302
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ATTOR~BYS
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ROBERT N. NiCHOLSON DJR££:T LINE: 954-745·5271
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[MAIL: rnidl()[email protected]:OID
September 28, Z;q07
VIA FACSIl\1ILE AN"D U.S. MAIL Mr. Javier Talamo, Esq. Kravitz and Talomo., LLP 7600 West 20th Ave., Ste. 213 Hialeah, Florida 33016
Re:
Coast to Coasl Medical Equipment
:,: ;
Dear Mr. Talamo:
I write to infonn you that Coast to Coast
Med~~
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Equipment is hereby withdrawing its
request to participate in All Florida Network, Inc. '8 ;;tompetitive bid for the l\fedicare home medical equipment contract for the South Florida MSA}rpBA. If you have any questions concerning the foregQ~!Og, please do not hesitate to contact me.
RN:m cc:
client
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Composite Exhibit B to Jack Marquez Affidavit
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KRAVITZ & Suite 213 7600 W 20 Avenue Hialeah, Florida 33016 Email: [email protected]
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Javier Talamo Tel: (305)558-5300 Fax: (305)557-1934
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October 1, 2007 CBIC P.O.BOX907 AUGUSTA, GA 30999-2743
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Dear SirIMadam:
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This office represents Chori Chorp and All Flo~H:la Network Inc., a bidder in the. competitive bid for the Medicare home medical equipt~Jnt contract for the South Florida I\.1SA/CBA. Chori Chorp's provider number is 11231~POOI and their bidder number is
1000155.
~~ i This letter is to inform you that Coat to Coast ~1~dica1 Equipment has informed the network that they are withdrawing their request to part~~ipate in All Florida's network co~petitive bid.. Enclosed you will find a letter form ~Rast to Coast's attorney ~ithdrawing theIr request to bld. Ii l ~ll l , .1 , Please delete Coast to Coast from our bid. Bel~~ please find the information on the provider to be deleted:
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NPI#19028~5754 TAX # 650645366 PHONE # (305) 265-0600
COAST TO COAST ;11
OWNER: JOSE TORRES ill
ADDRESS: 2887 SOUTHWEST 69 COURT, MIAMIJlfLORlDA 33155
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If you have any questions on the foregoing do nU hesitate to contact the undersigned at !ll 305-558-5300 or Jack Marquez at 305-629-2633.
Cordially
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Track & Confirm
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COBRA MEDICAL EQUIPMEMT 14:47 Case 1:08-cv-00441-LMB Document 10-4
P.02/04
Filed 06/18/2008
Page 20 of 29
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~.at&t
From:
CBrc ,ADMIN@palmetto9ba .~om
To: JACK070B<§>BELLSOUTH. NET
Subject: FW:PROVIDER THAT WILL WITHDRAW FROM THE NETWORK
~007 16~01~50
o"te: Thu,4 Oct
+0000
Dear Mr. Marquez: Thank you for notifying the carc of this matter regarding withdrawal from
network membership and for the contact information provided.
Please continue to monitor information.
Thank you.
ThiS
e~ma~l is confidential and subject to privilege:
http;//www.palmettOGBA.com!disclaimer
www~~competitiveb~d-90~ website
for additional
------------------( Forwarded le~ter 1 follows )--------------------
Subject: ~ROVIDER THAT WILL WITHD~W FROM THE NETWORK
From; padmini5trator~ba.com.PALM
To; cbic.admin
Date; Mon, 1 Oct ~007 12:57:~5 -0400
X-HDT-HopCount: 1
Please email
[email protected]
Name: JACK MARQUEZ
THE POLLOWING LETTER IS BEING MAIL TO CS~D PALMETTO GSA. TaB FOLLOWING
PROVIDER HAS WITHDRAWED FROM THE NETWORK THE BID NUMBERS WILL R~MAIN THE
SAME. PLEASE CALL ME IF ANY QUESTION ~T (305) 62~-2633 JACK MARQUEZ. THANKS
KRAVITZ & TALAMO L.L.P.
Suite 213 Javier Talamo
7600 W 20 Avenue Tel; (305)558-5300
Hialeah. Florida 33016 Fax; (305) 557-1934
r
Email:
Javier.tal.~o~yahoo.com
October 1, 2007 CBID BUILDING 200 SUITE 400
Via Federal
~press
PERIMETER PARKWAY
AUGUSTA, GA 30909 Dear Sir/Madam: This office re~resents Chori Chorp and All Florida Network Inc., a bidde~ in the competitive bid fOr the Medicare home medical equipment contract for the South Florida MSA!CBA. Chori ChorpA~s provider numbe~ is 1123190001 and their bidder number is 1000155. I This letter is to inform you that Coast ~o Coast Medical Equipment has informed the network that they are withdrawi~g their request to participate in All Floridaa m s network competitive bid. I Enclosed you will find a letter form Coast to CoaetaTM s attorney withdrawing; their .eqaest to bid..
please delete coae~ to Coa8~ from our bid. ~elow please find the
information on the provide. to be deleted:
COAST TO COAST
Page 95
JUN-17-2002 14:47 COBRA Case 1:08-cv-00441-LMBMEDICAL EQUIPMEMT Document 10-4
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9WNER ; JOSE TORRBS ADDRESS: 2887 SOUTHWEST 69 COURT, MIAMI, FLORIDA 33155 MEDICARE i 1110270001 NP!11902835754 TAX # 650645366 PHONE # (305) 265-0600 If you have any questions on tbe foregoing do not hesitate to contact the under$igned at 305-558-5300 or Jack Marquez at 305-629-2633.
cordially
Javier Talamo Enclosure
Page 96
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14:47
COBRA MEDICAL EQUIPMEMT
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~at&t
From:
To: Subject:
[email protected] [email protected] RE:COM BID ROUND 1
Date:
Wed, 26 Mar 2008 18:47:23 +0000
Dear Jack.: Thank you for your 1nquiry to the DMBFOS Competitive Bidding Program. Our records ind1c.te you contacted our office on March 21, 2008, regarding financial documentation. Your issue has been forwarded to the financial analyst fo~ the Competitive Bidding Implementation Contractor (CBIC) to verify every document received with your bidder number. CBIC will notify you by e-m.il within thirty business days of the results of the research. we cannot advise of contract decisions until after the evaluation has been completed.
Sincerely, Competitive Bidding Implementation Contractor Palmetto GBA This e-mail is confidential and subject to privilege: http://www.palmettoqba.com/dlsclaimer -~~---------------( Forwarded letter 1
Subject: COM BID ROUND 1
TO=
follow~
)
w. __ ------
·
From: [email protected]
cbic.admin
Date: Wed, 26 Mar 2008 04;01:S5 -0500
X-HDT-HOPCount: 1
please email
Name:
yourresponsetOJACK070&~BELLSOUTH.NET
JACK lYJARQUEZ
"~OUR
WHAT DOES
NOTICB WILL BE RECEIVE (VIA
THBY HAVE BEEN REVIEWED?
BID WILL BE REVIBWED WITHIN 30 DAYS" MSANS? WHAT TYPE OF
P~DEXPRBSS OR EMAIL?)WIL~ BIDS BE AWARDBn AFTER
Exhibit C to Jack Marquez Affidavit
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IN THE UNITED STATES COURT OF FEDERAL CLAIMS BID PROTEST
) ) Plaintiff, ) ) vs. ) ) THE UNITED STATES, ) ) Defendant. ) ) ________________________________)
ALL FLORIDA NETWORK CORP.,
Case No. 08 441 C
(Judge Lawrence M. Baskir)
AFFIDAVIT OF MARK HIGLEY STATE OF IOWA COUNTY OF BLACKHAWK ) )
I, MARK HIGLEY, being duly sworn, deposes and says as follows: 1. I am the Vice President of Development of VGM Group, Inc. ("VGM
Group"), the nation's most comprehensive member service organization for independent Home Medical equipment (HME) providers. Founded in 1986, VGM now has more than 2,500 members in more than 5,000 locations nationwide, and provides a range of services to members. One such service in light of the new Medicare competitive bidding system for certain durable medical equipment, prosthetics, orthotics and supplies ("DMEPOS" or "DME") called for by the Medicare Modernization Act of 2003 ("MMA") is assisting members in the proper bidding procedures required by the MMA to ensure the most accurate bid possible and to review the financial
1
de la O Marko Magolnick Leyton
TELEPHONE 305/285-2000 3001 S.W. 3RD AVENUE, MIAMI, FLORIDA 33129
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Case No. 08 441 C
documentation compiled by the members to ensure that it is complete prior to submission to CIBC1 in hardcopy form. I. BACKGROUND ON THE MEDICARE COMPETITIVE BIDDING PROGRAM. 2. The bidding program is being implemented in phases. Round One, which
takes place in 2007 2008, is going forward via Requests for Bids ("RFB") in 10 competitive bidding areas ("CBA"), drawn from ten of the largest metropolitan statistical areas ("MSA") in the nation, including the Miami-Fort Lauderdale-Miami Beach area. 3. Within a certain window of time, eligible bidders had to submit (a) an
electronic bid for up to 10 product categories,2 identifying the amount of Medicare reimbursement they are willing to accept for every item in a Product Category where the bidder wishes to supply DME products to Medicare beneficiaries, and (b) certain financial information in hardcopy form (such as financial statements and credit reports). 4. Winning bidders in a Product Category are selected by: (a) establishing a
composite bid for each bidder;3 (b) ranking composite bids in order from lowest to highest; and (c) selecting one of composite bid to be the "pivotal bid" (the lowest composite bid
The Competitive Bidding Implementation Contractor ("CIBC") assists the Centers for Medicare and Medicaid Services ("CMS") in implementing the competitive bidding program called for by the MMA. The CBIC is Palmetto GBA. LLC, located in Columbia, SC.
2
1
The product categories for the South Florida MSA are: (1) Oxygen Supplies and Equipment; (2) Standard Power Wheelchairs, Scooters, and Related Accessories, (3) Complex Rehabilitative Power Wheelchairs and Related Accessories, (4) Mail-Order Diabetic Supplies, (5) Enteral Nutrients, Equipment and Supplies, (6) Continuous Positive Airway Pressure (CPAP) Devices, Respiratory Asset Devices (RAD), and Related Supplies and Accessories, (7) Hospital Beds and Related Accessories, (8) Negative Pressure Wound Therapy (NPWT) Pumps and Related Supplies and Accessories, (9) Walkers and Related Accessories, and for Miami and San Juan only (10) Support Surfaces (group 2 and 3 mattress and overlays). ("Product Categories (1) (10)," individually or "Product Categories," collectively).
3
A composite bid is made up of (a) the predetermined weight of each item in a product category and (b) the corresponding bid amount for each item. Item (a) reflects the relative market importance of each item to the overall product category. Item (b) is the price the individual supplier is willing to provide for the item. The composite bid is calculated by multiplying (a) and (b) and summing across for all items in the product category. The item weights are the same for all bidders for the same product category. The total of all weights in a product category is equal to one (1).
2
de la O Marko Magolnick Leyton
TELEPHONE 305/285-2000 3001 S.W. 3RD AVENUE, MIAMI, FLORIDA 33129
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Case No. 08 441 C
submitted for a product category that will, counting all bidders at or below that bid price, include a sufficient number of suppliers to meet Medicare-estimated beneficiary demand within the MSA for the items in that product category). Winning bidders are offered standardized contracts, with reimbursement rates fixed at the median of the bid prices that are at or below the pivotal bid. III. VGM GROUP ASSISTS PLAINTIFF IN CONNECTION WITH THE RFB ISSUED IN THE SOUTH FLORIDA CBA. 5. VGM Group agreed to assist Plaintiff, a network of DME providers
planning to submit a bid in all 10 Product Categories in the Round One RFB (RFB No. CMS 10169) issued in the South Florida CBA. 6. VGM reviewed Plaintiff's information and documentation to ensure that it
was eligible to bid in the Round One competitive bidding program in the South Florida CBA. Our review confirmed that Plaintiff met all applicable enrollment, accreditation and financial criteria. Plaintiff was, in fact, eligible to bid. 7. Bidders in networks must not disclose certain bidding information to each
other. Therefore, VGM sent individual worksheets to each of Plaintiff's providers. The worksheets are self-populating spreadsheets that identify each item (by HCPC code) in a Product Category and its then-current allowable Medicare price in Florida, and asks each supplier to fill-in how much of that item the supplier is able to supply to the CBA, and allows an option to either (a) enter the item's cost per unit, the operating cost per unit and the desired profit percentage per unit to generate the bid amount per item, or, (b) to apply a percentage discount to the current allowable Medicare price in Florida to generate the bid amount per item. Plaintiff's providers selected the percentage discount option. With that information, the worksheet generated a composite bid amount for the product category. That information was aggregated by VGM into a suggested Network 3
de la O Marko Magolnick Leyton
TELEPHONE 305/285-2000 3001 S.W. 3RD AVENUE, MIAMI, FLORIDA 33129
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Bid for each Product Category that incorporated the data submitted by all providers in the Network After careful review and calibration to ensure that the numbers and capacity assessments were realistic and put Plaintiff in the best possible position to win the bid,4 and, subsequent to the review and approval of the providers, a final composite bid was created. 8. At the same time, Plaintiff's providers gathered all the financial
information that had to be submitted in hardcopy form along with the electronicallysubmitted bid. VGM used a checklist derived from the final rules governing the bidding process, identifying all the necessary documents that had to be submitted. See Ex. A. 9. VGM generated final bids for Plaintiff, and submitted them for Network
approval to Jack Marquez, a principle of one of Plaintiff's providers and the person who would submit Plaintiff's final certified electronic bid. VGM confirmed with Plaintiff that the bid was timely submitted. 10. Contemporaneously, on July 19, 2007, VGM timely submitted, in a single
package and via Federal Express Overnight Mail (Tracking No. (919138342200)), all the financial documents that CMS required in hardcopy form. Before sending it out, VGM compared what it received to its checklist, and satisfied itself that everything on its checklist had, in fact, been supplied by every supplier in Plaintiff's group. 11. VGM has since been advised that Plaintiff was disqualified from bidding,
largely on the grounds that it did not submit all necessary financial documents, including income tax statements (sometimes for multiple years) from at least five of its members. But VGM was careful to ensure that these basic documents were, in fact, received from Plaintiff's members. We would not have sent the materials to CIBC without them.
4
VGM also weighted the bids on each item based on the experience and track record of the provider, to bolster Plaintiff's (and CMS') confidence that Plaintiff is able to deliver the DME items subject to the bid.
4
de la O Marko Magolnick Leyton
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E. F. G. H. I. J. 15.
Product Category (5): 1.164 vs. 1.033. Product Category (6): 107.678 vs. 106.582. Product Category (7): 820.906 vs. 875.569. Product Category (8): 116.910 vs. 104.762. Product Category (9): 69.209 vs. 65.693. Product Category (10): 3,326.138 vs. 4,315.468.
In those five Product Categories where Plaintiffs Composite Bid is lower
than the Median Winning Composite Bid, Plaintiffs bid necessarily ranks among the lowest bids submitted by winning bidders in that Product Category. Thus, Plaintiff would have been among the winning bidders in those Product Categories but for its disqualification. 16. VGM believes that Plaintiff had a very good chance to be among the
winning bidders in Product Category (5), (6) and (9), as well. It is VGM's understanding that after certain bidders were disqualified roughly 370 bids were considered in the South Florida CBA. A smaller pool of providers for CMS to choose from means a wider range of bid amounts from the winning bidders, because a larger percentage of the applicant pool must be chosen to serve the demand for DME products in the CBA (assuming more bidders would have submitted bids with roughly the same range of prices, CMS would have more applicants to choose from to serve the demand for DME products, and thus the pivotal bid price which forms the basis for the Median Winning Composite Bid discussed above would be lower). Since the range of bid prices CMS had to choose from was likely to be wide, the fact that Plaintiffs Composite Bid is slightly higher than the Median Winning Composite Bid in Product Category (5), (6) and (9)
6
de la O Marko Magolnick Leyton
TELEPHONE 305/285-2000 3001 S.W. 3RD AVENUE, MIAMI, FLORIDA 33129
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17.
VGM also believes it likely that Plaintiff would have been a "winning
bidder" in Product Category (8), even though there was a wider difference here between Plaintiff's Composite Bid and the Median Winning Composite Bid than was the case for the Product Categories discussed in ¶ 15, above. Product Category (8) is for negative pressure wound therapy, e.g., suction pumps used to clean out or remove fluids from a wound site (thereby promoting wound healing). There are only four HCPC codes in this category, and doing this work requires intensive capital investment (the pumps cost roughly $17,000.00 each, and most providers buy dozens of them). For these reasons, VGM believes there were few providers bidding in this category (indeed, because of the capital investment needed to do this work, some commentators expressed doubts about whether negative pressure wound therapy would remain in the bidding competition). With few bidders, CMS would have likely had to reach into the upper end of the bidding range in order to satisfy capacity. Under these circumstances, VGM believes it likely that Plaintiff would have been among the winners in Product Category (8).
7
de la O Marko Magolnick Leyton
TELEPHONE 305/285-2000 3001 S.W. 3RD AVENUE, MIAMI, FLORIDA 33129
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18.
The foregoing analysis would be a straightforward, easy mathematical
calculation if CMS disclosed the necessary information (the actual pivotal bids), but it refuses to do so. Still, with the information we have, VGM can make intelligent assessments, and it is clear to us and, indeed, it cannot be seriously disputed that Plaintiff would have been among the winning bidders in at least Product Category (1) (3), (7), and (10). VERIFICATION I declare under penalty of perjury that the foregoing is true and correct.6 DATED: 06.17.08
__________________________ MARK HIGLEY
6
See 28 U.S.C. § 1746.
8
de la O Marko Magolnick Leyton
TELEPHONE 305/285-2000 3001 S.W. 3RD AVENUE, MIAMI, FLORIDA 33129
Page 104
FACSIMILE 305/285-5555
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