Preference Payments in Bankruptcy and the DME Supplier
January 16, 2017
AMARILLO, TX – Fallout from a high-profile bankruptcy case in the DME world provides a lesson for suppliers on the basics of bankruptcy and what you can do to protect your company. Case in point: the collapse of Florida-based Univita and
Baird Bonus – ALJ Backlog – Light at the End of the Tunnel
January 9, 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
Consignment Arrangement with Hospital – Key Contract Provisions
January 2, 2017
AMARILLO, TX – It is common for a DME supplier to enter into a consignment arrangement with a hospital. This is also referred to as a “loan closet” or “stock and bill” arrangement. Under a typical consignment arrangement
They’re Here – CMS Issues Next Round of Recovery Audit Contracts
December 19, 2016
AMARILLO, TX – The Recovery Audit Program began as a required demonstration program in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. It was a three-year demonstration program that began in March 2005 and ended in M
Beneficiary Inducement Statute – Nominal Value Exception Increases
December 12, 2016
AMARILLO, TX – Under section 1128A(a)(5) of the Social Security Act (the Act), enacted as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and commonly known as the “beneficiary inducement” statute, a person
Three Good Changes to the Competitive Bidding Program
November 14, 2016
AMARILLO, TX – Between unsuccessful challenges to aspects of the Competitive Bidding Program (“Program”), nonsensical bid awards, and constant downward pressure on already low reimbursement rates, it feels like all news related to Competiti