AMARILLO, TX - The original impetus for allowing private insurers to provide Medicare benefits was to reduce costs while maintaining or improving quality of care.

AMARILLO, TX - Almost 50% of Medicare beneficiaries are enrolled in Medicare Advantage Plans (“MAPs”). This percentage will continue to increase.

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.

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”).

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.”