Overview of Federal Statutes and Regulations Governing Medicare Advantage Plans and Medicaid Managed Care Plans

December 4, 2021
AMARILLO, TX – Federal statutes and regulations governing Medicare Advantage and Medicaid Managed Care organizations are quite extensive. However, only a small portion of the regulations govern the relationship between the organizations and the

Cash Sales and HIPAA: Avoidance of Pitfalls

November 5, 2021
AMARILLO, TX – Increasingly, DME suppliers are seeking to diversify their income stream by selling products for cash. Assume that XYZ Medical, Inc. has a PTAN and its principal business is to provide Medicare-covered items on an assigned basis.

Compensation to Physicians: Federal and State Kickback Implications

October 10, 2021
AMARILLO, TX – In an Oct 2020 press release, the Department of Justice (DOJ) announced a federal False Claims Act (FCA) settlement with Utah-based Merit Medical Systems, Inc. The press release says, in part: Medical device maker Merit Medical S

Coming Updates to Advance Beneficiary Notice: What DME Suppliers Should Know

September 3, 2021
AMARILLO, TX – In the DME industry, it is not unusual to see claims for reimbursement denied by Medicare for a number of different reasons. When this happens, DME suppliers are often left bearing the financial burden. To address this issue, the

HHS Issues Much Anticipated Updates to Provider Relief Fund Deadlines and Reporting Requirements

June 19, 2021
AMARILLO, TX – Suppliers across the country were pleasantly surprised with the release of updated reporting requirements and deadlines in connection with funds received from the CARES Act Provider Relief Fund (PRF).  On June 11, the Department

Provider Relief Fund: Details on Newly Released Reporting Requirements

June 19, 2021
AMARILLO, TX – On June 11, 2021, the Department of Health and Human Services (HHS) updated and clarified the reporting requirements surrounding the Provider Relief Fund (PRF).  This article aims to familiarize the reader with the reporting req