Cash Customer Discounts

November 17, 2019
AMARILLO, TX – As we discussed in last week’s Medtrade Monday article, until recently DME suppliers have primarily provided products to Medicare patients on an assigned basis. Under an assignment model, Medicare pays the DME supplier directly

Electing to be Non-Participating and Billing Non-Assigned

November 8, 2019
AMARILLO, TX – For the last four decades, DME suppliers have primarily provided DME on an assigned basis. Medicare paid the suppliers directly and the patients only had to pay their copayments and deductibles. Until approximately 2010, this wor

States’ Any Willing Provider Laws

October 26, 2019
AMARILLO, TX – The managed care phenomenon snuck up on the DME industry. Since its inception in approximately 1965, the DME industry has focused on how to properly bill Medicare fee-for-service, also known as “traditional Medicare.” In the

Genetic Testing and Kickbacks: Lessons for DME Suppliers

October 19, 2019
AMARILLO, TX – In a recent Medtrade Monday article, we discussed the fact that the Department of Justice (“DOJ”) and Office of Inspector General (“OIG”) are targeting genetic testing labs (“GTLs”). By way of background, over the las

Proposed Changes to Stark and the Anti-Kickback Statute

October 12, 2019
AMARILLO, TX – As we have discussed in previous Medtrade Monday articles, health care is evolving from the traditional “fee-for-service” (“FFS”) model to an “integrated care” model. Under the FFS model, health care providers (physic

What Add-Ons Are Still Available at Medtrade?

October 12, 2019
ATLANTA –If you’re planning on walking the Expo Floor at Medtrade, you may also be thinking; What networking events and workshops are still available? How can these add-ons add real value to my trip? Audit Happy Hour Continuing its multi-year