AMARILLO, TX – The Recovery Audit Contractors, or RACs, are Medicare’s bounty hunters. These auditors are paid a contingency fee to identify improperly paid claims. While RACs are paid a contingency fee to identify over and underpayments, sup

AMARILLO, TX – There are two important principles that a DME supplier must adhere to. The first is that the DME supplier “lives in a glass house.” If the DME supplier is doing something it should not be doing, then “someone knows about it

AMARILLO, TX – Today’s DME supplier is highly regulated. It must abide by a plethora of federal anti-fraud laws, including (but not limited to) the Medicare anti-kickback statute and the federal False Claims Act. Because the day-to-day operat

AMARILLO, TX – 42 U.S.C. §1320a-7(b)(6)(A) states, in relevant part: The secretary may exclude the following individuals and entities from participation in any Federal health care program (as defined in section 1320a–7b (f) of this title

AMARILLO, TX – In September, I wrote an article entitled, Medicare Anti-Kickback Statute – Real World’ Case. In the article, I discussed a front page Wall Street Journal (WSJ) story entitled, “A Fast-Growing Medical Lab Tests Anti-Kickbac

AMARILLO, TX – The government has taken the position that if a facility originally received Medicare certification for participation as a SNF, then that singular event prohibits a DME supplier from billing Part B for products delivered to custo