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

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

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

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

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

ATLANTA – At the “show within a show” on day one of Medtrade, a series of speakers shared specific business solutions at the day-long Brightree Summit. During her hour-long presentation, Jennifer Leon (pictured, left), vice president, Brightree