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
Rights of a DME Supplier Under a Medicare Advantage Plan
January 15, 2022
AMARILLO, TX – This article discusses the federal laws that address the steps a DME supplier can take when it concludes that a Medicare Advantage Plan (MAP) is taking steps that violate the contract between the supplier and the MAP, or steps th
The No Surprises Act’s New Requirements and Prohibitions in Patient Billing
January 1, 2022
AMARILLO, TX – Starting January 1, 2022, one of the most extensive consumer/patient protection laws in health care since the Affordable Care Act will take effect. On the first day of the new year, health care providers and commercial insurance
Medicaid Managed Care Plans: Access to Care Requirements
December 24, 2021
AMARILLO, TX – We are writing a series of Medtrade Monday articles addressing federal law pertaining to Medicare Advantage Plans (MAPs) and Medicaid Managed Care Plans (MMCPs). The previous three articles (i) presented an overview of federal la
Medicare Advantage Plans: Access to Care Requirements
December 18, 2021
AMARILLO, TX – We are writing a series of Medtrade Monday articles addressing federal law pertaining to Medicare Advantage Plans (MAPs) and Medicaid Managed Care Plans (MMCPs). The previous two articles (i) presented an overview of federal laws
Medicare Advantage Plans and Medicaid Managed Care Plans: Minimum Level of Service
December 11, 2021
AMARILLO, TX – This article summarizes the federal laws that address the minimum level of services that a (i) Medicare Advantage Plan (“MAP”) must provide to enrollees and (ii) Medicaid Managed Care Plan (“MMCP”) must provide to enrolle