Boost Front Office Acumen at Medtrade West

April 24, 2021
PHOENIX – If you’re looking to improve workflow processes and procedures such as intake and scheduling, you should consider the hour-and-45-minute panel discussion at Medtrade West. Unlike previous years, the Expo Hall and Conference portions of

Arrangements Between Sleep Labs and DME Suppliers

April 17, 2021
AMARILLO, TX – An increasing number of patients are being diagnosed with obstructive sleep apnea (“OSA”). As a result, we are seeing an expansion of sleep labs, but such expansion is focused on home sleep tests (“HSTs”), as opposed to o

Federal AKS and Stark: A Recap

April 9, 2021
AMARILLO, TX – DME suppliers operate in a highly regulated environment. Suppliers need to comply with (i) federal anti-fraud laws (e.g., anti-kickback statute and Stark), (ii) state anti-fraud laws that mirror the federal laws, (iii) CMS regula

CMS Guidance: Shipping and Billing CGM Refills Before Date of Service

March 27, 2021
AMARILLO, TX – Determining the date of service (“DOS”) for DME is dependent on the type of delivery method utilized. The DOS for DME delivered in-person to a beneficiary is the date the beneficiary received the DME. If the DME is mailed or

Out-of-Network Supplier: Waiving Copayment

March 20, 2021
AMARILLO, TX – Historically, DME suppliers have billed CMS directly. This is known as “Medicare fee-for-service” (or “Medicare FFS”). Also, historically, suppliers have taken care of state Medicaid patients and have billed state Medicai

Stark and the In-Office Ancillary Services Exception

March 13, 2021
AMARILLO, TX – There are a number of federal anti-fraud laws that DME suppliers need to be aware of. Two of the most important federal laws are the anti-kickback statute (“AKS”) and the physician self-referral statute (“Stark”). The AKS