State Kickback Laws: Traps For The Unwary
Most savvy individuals in the DME space have at least a passing awareness of the federal anti-kickback statute and the federal physician self-referral statute (Stark).
Corrective Action Plan Vs. Reconsideration Request
What is the correct response to a letter from Provider Enrollment stating that the DME supplier’s PTAN is being revoked?
Medicare Advantage Fraud: Billions Lost In Overpayments and Political Influence
Medicare Advantage fraud has become a significant concern in the U.S. healthcare system.
Proposed Changes To The “60-Day Rule”
Three things in life are certain—death, taxes, and changes in the healthcare regulatory requirements.
Negotiating Medicare Advantage Contracts
A prevailing opinion is that managed care contracts are “take it or leave it.” While this is true in a number of instances, this is not always the case.
Physician Convicted In $6.3 Million Medicare Fraud Scheme: Lessons For DME Suppliers
Critical lessons can be gained from recent investigations in the DME/orthotics space. By understanding these points, DME suppliers can avoid problematic arrangements.