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.

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.”

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. 

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).

A new 36-month rental period can begin only in the following situations: After the five year reasonable useful lifetime (“RUL”) of the oxygen equipment has expired, if the beneficiary elects to obtain new oxygen equipment.

AMARILLO, TX - A “loan closet” is also known as a “stock and bill”...which is also known as a “consignment closet.” A DME supplier can set up a loan closet arrangement at a hospital, clinic, or physician’s office (“Facility”).