Joint Venture Between DME Supplier and Hospital

November 11, 2022

AMARILLO, TX - A mechanism for a hospital to work with patients post-discharge is for the hospital to establish a joint venture with an existing DME supplier.

Kickback, Inducement, And Physician Self-Referral: A Primer

November 5, 2022

AMARILLO, TX - DME suppliers need to always be aware of the federal anti-kickback statute, the federal beneficiary inducement statute, and the federal physician self-referral statute (“Stark”).

Questionable Actions by Medicare Advantage Insurers: The Dialogue Escalates

October 14, 2022

AMARILLO, TX - As discussed in previous Medtrade Monday articles, over the last 12 years, while the DME industry was focused on competitive bidding and aggressive audits, managed care snuck up on the industry through the back door.

60-Day Rule: Guidance for DME Suppliers

September 24, 2022

AMARILLO, TX - Years ago, when a DME supplier would determine that Medicare had previously paid claims to the supplier that the supplier should not have submitted, the supplier might have been inclined to “go and sin no more.”

Medicare Advantage Plans and Medicaid Managed Care Plans: Cliff’s Note Version

September 15, 2022

AMARILLO, TX - Previously, I wrote a series of articles addressing Medicare Advantage Plans and Medicaid Managed Care Plans. I have condensed the previous articles into a short (hopefully easy-to-read) Cliff’s Note version. 

Working with Lead Generation Companies

August 19, 2022

AMARILLO, TX - The Department of Justice (DOJ) and Office of Inspector General (OIG) are scrutinizing arrangements that health care providers and suppliers (pharmacies, labs, DME suppliers, etc.) have with lead generation companies (LGCs).