Under Medicare policy, DME suppliers must issue an ABN when they reasonably expect Medicare to deny payment for items or services that would otherwise be covered.

A Kansas man pleaded guilty earlier this month to operating an internet-based platform that generated false doctors’ orders to defraud Medicare.

A compliance program is a living document. It must be designed, implemented and revised.

This article addresses the applicability of 42 U.S.C. § 1395nn (“Stark Law”) to the practice of a physician providing DME to Medicare patients.

AAHomecare expects to work with stakeholders in approximately 25 states on rate stability issues through legislation or regulatory efforts.

The National Defense Authorization Act for Fiscal Year 2025 contains an alteration to a federal law that could cause a civil fraud enforcement tool to be more widely utilized.