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.

Physician Convicted In $6.3 Million Medicare Fraud Scheme: Lessons For DME Suppliers

July 26, 2024

Critical lessons can be gained from recent investigations in the DME/orthotics space. By understanding these points, DME suppliers can avoid problematic arrangements.

Keeping Your Medicare Number Active

July 19, 2024

Staying on top of your Medicare enrollment is more important than ever because your Medicare provider transaction access number or PTAN is the key to billing Medicare beneficiaries.