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

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

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.

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

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

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