DME suppliers have no choice but to reduce expenses and improve efficiencies. This article discusses two approaches.

CMS published its annual Notice, updating the Master List of DMEPOS items potentially subject to prior authorization requirements and the “Required” Prior Authorization list.

One theme stood out clearly at Medtrade; automation and AI are moving from curiosity and interest to operational priority.

With a considerable burden of risk for erroneous payments shifted from HHS to state Medicaid programs, experts anticipate increased scrutiny of claims submissions.

“Operation Gold Rush” refers to a large 2025 DOJ investigation targeting a transnational criminal organization (TCO) behind a multi-billion dollar Medicare fraud scheme.

The final installment of Bachenheimer and Baird's four-part competitive bidding summary covers furnishing of items, disclosure of subcontracting arrangements, breach of contract, and more.