Subcontract Agreements: Key Provisions

July 6, 2019
AMARILLO, TX – In the past, most Medicare patients were covered by Medicare fee-for-service (“FFS”) and most Medicaid patients were covered by Medicaid FFS. These terms are commonly known as “traditional Medicare” and “traditional Med

Federal Anti-Fraud Guidelines: A Primer

June 29, 2019
AMARILLO, TX – DME suppliers operate in a highly regulated environment. Suppliers must comply with (i) federal anti-fraud laws, (ii) state anti-fraud laws, (iii) supplier standards, (iv) accreditation requirements, and (v) guidance from Medicar

Value-Added Services While Avoiding Prohibited Inducements

June 22, 2019
AMARILLO, TX – Health care is evolving from the traditional “fee-for-service” (FFS) model to an “integrated care” model. Under the FFS model, health care providers (physicians, hospitals, therapists, pharmacies, DME suppliers, etc.) ope

Consignment Closets at Hospitals and Physician Offices

June 15, 2019
AMARILLO, TX – A “consignment closet” is also known as a “loan closet”…which is also known as a “stock and bill arrangement.” When a DME supplier sets up a consignment closet at a hospital/physician’s office, then this means

Big Changes are Coming to the Competitive Bidding Program

June 2, 2019
WASHINGTON, DC – In early March, CMS announced major changes to the DMEPOS competitive bidding program for 2021, including plans to consolidate the competitive bidding areas (CBAs) included in the Round 2 Re-compete and Round 1 2017 DMEPOS Comp

Telehealth: State-by-State Guidance

May 17, 2019
AMARILLO, TX – By now, most DME suppliers should know that the patient (or his/her employer or insurance company) must pay the telehealth physician; the DME supplier cannot directly or indirectly pay the telehealth physician. This is the “kic