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
Braces and Telehealth: Payment Suspensions
April 27, 2019
AMARILLO, TX – Two weeks ago, I wrote an article discussing the multiple arrests of individuals who were involved in selling orthotics (mostly back braces) based on telehealth encounters. According to the Department of Justice April 9, 2019 Pre
Compensating Physicians: Stark and Kickback Implications
April 21, 2019
AMARILLO, TX – Assume that a physician does not directly or indirectly generate referrals of federal health care program (“FHCP”) patients to a DME supplier. If the supplier compensates the physician for services, then neither the federal a
Indictments, Arrests, and Fraud – Lessons Learned
April 14, 2019
AMARILLO, TX – Between Jan 15, 2016 and Jan 11, 2019, I wrote seven Medtrade Monday articles: Avoid Sham Telehealth Arrangements; Tennessee Case: Warning to Supplier-Funded Telehealth Arrangements; Telehealth and Payment Suspension; Telehealth
Compliance Manual: Summary of Contents
April 6, 2019
AMARILLO, TX – I have often said that the most important “profit center” of a DME supplier is its compliance program. While a compliance program does not directly generate income for the supplier, a functioning compliance program will assis