Anti-Kickback Statute, Stark, And Other Compliance Issues
AMARILLO, TX - 2022 has been an eventful year and 2023 will certainly not be boring. With 78 million Baby Boomers retiring at the rate of 10,000 per day, and with many Boomers living well into their 80s, the demand for DME will only increase.
How Medicare Advantage Plans are Paid
AMARILLO, TX - The original impetus for allowing private insurers to provide Medicare benefits was to reduce costs while maintaining or improving quality of care.
Patient Financial Assistance Program: OIG Guidance
AMARILLO, TX - Almost 50% of Medicare beneficiaries are enrolled in Medicare Advantage Plans (“MAPs”). This percentage will continue to increase.
Joint Venture Between DME Supplier and Hospital
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.
Kickback, Inducement, And Physician Self-Referral: A Primer
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”).
Questionable Actions by Medicare Advantage Insurers: The Dialogue Escalates
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.