Approximately 54% of Medicare beneficiaries are covered by Medicare Advantage Plans (MAPs) and this percentage is expected to increase.

Health care providers, including DME suppliers, must play by a different set of rules than most non-health care businesses.

Essentially any item or service of value offered to a potential referral source can trigger the AKS.

While the DME supplier has the superior legal position, the MAP has the superior practical position.

Most savvy individuals in the DME space have at least a passing awareness of the federal anti-kickback statute and the federal physician self-referral statute (Stark).

What is the correct response to a letter from Provider Enrollment stating that the DME supplier’s PTAN is being revoked?