Subcontract Arrangements: Key Issues

March 30, 2024

Third-party payor (TPP) contracts include Medicare Advantage (MA) contracts, Medicaid Managed Care (MMC) contracts, and employer-sponsored group health insurance contracts.

PDAC Verification Process: The Initial Application

March 22, 2024

The PDAC, which is a Medicare contractor, handles code verification.

CMS Addresses Change Healthcare Disruption

March 15, 2024

The Agency will consider applications for advance payments for Part B suppliers impacted by the Change Healthcare/Optum Payment Disruption.

Requesting An Office Of Inspector General Advisory Opinion

February 23, 2024

In the non-health care space, contracts, business arrangements, and joint ventures need to make sense from a financial standpoint.

Fraud In The Catheter Space

February 19, 2024

The New York Times recently published an article that discusses fraud in the catheter space...What are the lessons?

Using Offshore Subcontractors

February 9, 2024

The term “subcontract” is a fairly simple term. A subcontract arises when one company (“ABC, Inc.”) pays another company (“XYZ, Inc.”) to perform services.