Paying a Physician’s Expenses

February 10, 2018
AMARILLO, TX – A common question asked by DME suppliers is whether they can subsidize a physician’s expenses. Examples include: May a DME supplier pay a physician’s out-of-pocket expenses to attend a continuing education conference? May a D

Sample, Speak, See – Software at Medtrade Spring – Part 1

February 4, 2018
LAS VEGAS – Medtrade Spring attendees already know that ruthlessly efficient billing/reimbursement software (in-house or outsourced) is essential in 2018. Providers looking to upgrade and/or switch their billing system will have an amazing chance t

Contesting Sole Source Contracting and Reimbursement Cuts by Medicaid Managed Care Plans

February 3, 2018
AMARILLO, TX – Over the past 10 years, DME suppliers have focused their attention on the Medicare and Medicaid fee-for-service (“FFS”) programs. On the Medicare side, suppliers have had to deal with competitive bidding, aggressive auditors,

Exclusion from Federal Health Care Programs – Part 3

January 27, 2018
AMARILLO, TX – The following is Part Three of a three part series addressing exclusion from federal health care programs. Part One addressed the OIG’s exclusion authority. Part Two addressed the procedure that the OIG follows in excluding an

Billing Part B for Beneficiary Inside a Facility

December 16, 2017
AMARILLO, TX – As all of us are aware, Medicare Part B covers DME furnished to a Medicare beneficiary who is residing in his “home.” Generally speaking, a beneficiary that receives inpatient “rehab” services in a skilled nursing facilit

Non-Invasive Ventilators – Audit Issues

December 9, 2017
AMARILLO, TX – The DME industry is young and grew up relatively unregulated. As concerns over overutilization, fraud, and the rising costs of health care have increased, so has scrutiny from the federal government. One of the biggest challenges