Audit Climate – Taking The Temperature

May 17, 2024

As we near the midpoint of 2024, what are the main billing/reimbursement headaches being faced by providers?

Bringing Value To Referral Sources – The Message Matters

May 10, 2024

When Alan Morris convened an educational session at Medtrade about Bringing Value To Referral Sources, the topic resonated as evidenced by standing-room only attendance.

OIG Issues New Compliance Program Guidance

April 26, 2024

In November of last year, the OIG for the DHHS issued a revised General Compliance Program Guidance.

DME Marketing Concerns: The Anti-Kickback Statute

April 19, 2024

Healthcare providers, including DME suppliers, must approach the utilization of marketing representatives much more carefully than non-healthcare providers.

Scrutiny Of Medicare Advantage Plans

April 5, 2024

President Lyndon B. Johnson signed the Medicare Act into law in 1965. This set up the Medicare system that is designed to provide health care for the elderly and disabled.

Subcontract Arrangements: Key Issues

March 30, 2024

Third-party payor (TPP) contracts include Medicare Advantage (MA) contracts, Medicaid Managed Care (MMC) contracts, and employer-sponsored group health insurance contracts.