Collection From Managed Care

November 21, 2024

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

State Kickback Laws: Traps For The Unwary

November 8, 2024

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

October 24, 2024

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

October 4, 2024

Medicare Advantage fraud has become a significant concern in the U.S. healthcare system.

Proposed Changes To The “60-Day Rule”

August 30, 2024

Three things in life are certain—death, taxes, and changes in the healthcare regulatory requirements.

Negotiating Medicare Advantage Contracts

August 8, 2024

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.