Physician Payments Sunshine Act
November 10, 2014
AMARILLO, TX – The Physician Payments Sunshine Act requires group purchasing organizations (GPOs) and manufacturers of prescription drugs and devices that are covered by Medicare, Medicaid, or CHIP to annually report (1) payments and gifts prov
Joint Ventures with Hospitals – What the Law Requires Part 3
November 3, 2014
AMARILLO, TX – For years, the health care delivery system operated in silos. Hospitals did their thing, physicians did their thing, pharmacies did their thing, DME suppliers did their thing—you get the idea. There was little coordination amon
Joint Venture with Hospital – What the Law Requires – Part 2
October 20, 2014
AMARILLO, TX – For years, the health care delivery system operated in silos. Hospitals did their thing, physicians did their thing, pharmacies did their thing, DME suppliers did their thing……..you get the idea. There was little coordination
Joint Ventures with Hospitals – What the Law Requires – Part 1
October 13, 2014
AMARILLO, TX – For years, the health care delivery system operated in silos. Hospitals did their thing, physicians did their thing, pharmacies did their thing, DME suppliers did their thing. There was little coordination among the providers. Wh
Physicians Billing Part B for Orthotics
October 6, 2014
AMARILLO, TX – Orthotics are classified as custom-fabricated, custom-fitted or off-the-shelf (“OTS”). The primary distinction between custom and OTS orthotics is the level of expertise needed to properly fit the orthotic to the patient. OTS
Selling DME by a Supplier Without a PTAN
September 27, 2014
AMARILLO, TX – Certain disclaimers must be made when a supplier sells, without a PTAN, DME to a Medicare beneficiary. 42 U.S.C. §1395m(j)(4)(A) states that if a supplier furnishes DME to a Medicare beneficiary, for which no payment m