Exceptions to the Beneficiary Inducement Statute

April 22, 2022
AMARILLO, TX – Section 1128A(a)(5) of the Social Security Act (the “Beneficiary Inducement Statute”) prohibits a person from offering or transferring to a Medicare or Medicaid beneficiary any remuneration that the person knows or should kno

AOBs: Blue Ink or Electronic?

April 14, 2022
AMARILLO, TX – A common question is whether a DME supplier is limited to collecting blue ink AOBs…or if the supplier can rely on recorded phone calls for AOBs. The short answer is that the supplier can use recorded phone calls for AOBs, but

Transitioning from Billing Assigned to Billing Nonassigned – Part 3

March 11, 2022
AMARILLO, TX – The DME industry has been in existence since the 1970s. The industry primarily serves the elderly, meaning that DME suppliers have largely been dependent on Medicare. DME suppliers have primarily billed Medicare on an assignment

Transitioning from Billing Assigned to Billing Nonassigned – Part 2

March 5, 2022
AMARILLO, TX – The DME industry has been in existence since the 1970s. The industry primarily serves the elderly, meaning that DME suppliers have largely been dependent on Medicare. DME suppliers have primarily billed Medicare on an assignment

Transitioning from Billing Assigned to Billing Nonassigned – Part 1

February 26, 2022
AMARILLO, TX – The DME industry has been in existence since the 1970s. The industry primarily serves the elderly, meaning that DME suppliers have largely been dependent on Medicare. DME suppliers have primarily billed Medicare on an assignment

Products Added to Face-to-Face Encounter and WOPD List and Required Prior Authorization List

January 21, 2022
WASHINGTON, DC – On January 13, 2022, CMS published the HCPCS codes that will be added to the list of products that require a face-to-face encounter and written order prior to delivery (WOPD) as well as the HCPCS codes added to the list of prod