Suspect Claims Submission Arrangement

September 25, 2017
AMARILLO, TX – A growing challenge in the DME space pertains to “closed panels.” This is where a supplier desires to serve customers who are covered by a particular commercial insurance plan…but the plan is “closed” to additional DME

Medforce at Medtrade – The “Desperate Need” to Obtain Signatures and More

September 18, 2017
ATLANTA –Medforce Technologies Inc (Booth #1545 at Medtrade) has a long history of finding solutions for HME providers. At this year’s Medtrade, scheduled for Oct 23-25, 2017, the New York-based software company is once again helping providers fi

Avoiding Kickbacks – Guidance from Two Cases

September 18, 2017
AMARILLO, TX – Within certain legal parameters, a DME supplier can make payments to physicians. For example, if the supplier and physician enter into a legitimate Medical Director Agreement, then the supplier can make payments to the physician.

Medforce Preps Strategies to Help Providers at Medtrade

September 11, 2017
ATLANTA – Fewer personnel resources and fewer profits are realities in today’s HME world. Industry veteran Esther Apter, founder and CEO, Medforce Technologies Inc, Suffern, NY, believes the right software can help by allowing providers to w

Medicaid Managed Care and Sole Source Contract

August 28, 2017
With the shifting sands of the Affordable Care Act (“ACA”), and with 78 million Baby Boomers retiring at the rate of 10,000 per day, there is more need – but less funding – for state Medicaid programs. State Medicaid programs are seeking

ALJ Backlog – Latest Development

August 21, 2017
AMARILLO, TX – The current administrative appeals process is beyond unfair to DME suppliers. A supplier will get hit with a post-payment audit involving multiple patients. The auditing contractor will look for reasons to deny the claims and see