Managed Care Contracts: Key Provisions
AMARILLO, TX - Approximately 50% of Medicare beneficiaries are covered by MAPs and approximately 70% of Medicaid patients are covered by MMCPs.
Medicare Advantage: CMS Final Rule
AMARILLO, TX - For the first 40 years of its existence, the DME industry has been a Traditional Medicare fee-for-service industry. This is rapidly changing.
Requests For Payment For Medical Records
AMARILLO, TX - DME suppliers and other health care providers make and receive requests for medical records constantly.
Lab Kickback Settlement: Lessons for DME Suppliers
AMARILLO, TX - On April 4, 2023, the Department of Justice (DOJ) issued a press release discussing a $5.9 million settlement with Genotox Laboratories. The Genotox settlement provides valuable lessons to DME suppliers.
OIG Audit of Medicare Advantage Program
AMARILLO, TX - Within the last 10 years, the DME industry has witnessed the encroachment of Medicare Advantage (“MA”) into their lives.
Fraud and Abuse Laws: Cliff’s Note Summary
AMARILLO, TX - DME suppliers are highly regulated. They must comply with federal and state statutes and regulations, published guidance by federal and state regulatory and enforcement agencies, and requirements of third party payors.