Closed Insurance Panel: Responsive Steps
August 2, 2020
AMARILLO, TX – The DME industry, as we know it today, began in the 1970s. Because DME suppliers primarily serve the elderly, the industry has always been dependent on Medicare. Historically, the DME industry was a Medicare fee-for-service (“F
Outsourcing Resupply: Prochant Offers “Smart Solution”
July 26, 2020
CHARLOTTE, N.C. — HME providers with successful programs are open to outsourcing, partnering with resupply outreach vendors, and engaging with their patients, reports Prochant. Outsourcing resupply programs may be one key to their success. Accordin
Kickbacks in the Pharmacy Arena: Lessons for DME Suppliers
July 17, 2020
AMARILLO, TX – In previous Medtrade Monday articles, we have discussed arrangements that DME suppliers enter into that violate the federal anti-kickback statute (“AKS”). For example, a kickback arises if a supplier pays commissions to a 109
Audits Set to Resume
July 11, 2020
WASHINGTON, D.C. – During the public health emergency (“PHE”) CMS suspended most Medicare fee-for-service (“FFS”) medical reviews. Unfortunately, this suspension is coming to an end. In the most recent Coronavirus Disease 2019 (COVID-19
Sponsorship of Physician Education Programs and Subsidization of Copayments: Lessons from Two Novartis Settlements
July 3, 2020
AMARILLO, TX – In previous Medtrade Monday articles, we discussed that it is acceptable for a DME supplier to sponsor a physician to present an education program, on behalf of the supplier, if the following parameters are met: (i) the physician
Provider Relief Fund; Reporting Update and a Significant Question
June 21, 2020
AMARILLO, TX – HHS continues to do its best to navigate the storm that is COVID-19 and the associated legislation meant to protect and support health care providers in this time of significant uncertainty. Since our last article was written,