Noncompliance can lead to audits, recoupments, and civil and criminal liability.

AAHomecare is debuting a new benefit for HME provider members coming in January 2025: the AAHomecare Payer Transparency Portal. 
 

Approximately 54% of Medicare beneficiaries are covered by Medicare Advantage Plans (MAPs) and this percentage is expected to increase.

Health care providers, including DME suppliers, must play by a different set of rules than most non-health care businesses.

Essentially any item or service of value offered to a potential referral source can trigger the AKS.

While the DME supplier has the superior legal position, the MAP has the superior practical position.