Out-of-Network Supplier: Waiving Copayment

March 20, 2021
AMARILLO, TX – Historically, DME suppliers have billed CMS directly. This is known as “Medicare fee-for-service” (or “Medicare FFS”). Also, historically, suppliers have taken care of state Medicaid patients and have billed state Medicai

Cash-Based Expansion

March 13, 2021
DENVER – While much of the world hunkered down during the global pandemic in April 2020, Jake Broadbent (pictured) led an effort to buy You Can Home Medical, a retail-oriented HME in Denver, Colo. The new purchase included a move from Utah where Br

AAHomecare in Action – AAHomecare and NEMEP Push for Medicaid Rate Stability in New York

March 13, 2021
WASHINGTON, DC – AAHomecare is working with the Northeast Medical Equipment Providers Association (NEMEP) to support new legislation requiring Medicaid MCOs in New York to reimburse DME providers at no less than 100% of the state’s published

Healthcare Stakeholders Turn Up the Heat on Medicare Sequester Legislation as Deadline Approaches

March 13, 2021
WASHINGTON, DC – With the moratorium on the 2% Medicare sequester cuts currently set to expire on March 31, AAHomecare and our healthcare sector coalition partners have redoubled efforts to engage legislators in support of extending the pause o

Stark and the In-Office Ancillary Services Exception

March 13, 2021
AMARILLO, TX – There are a number of federal anti-fraud laws that DME suppliers need to be aware of. Two of the most important federal laws are the anti-kickback statute (“AKS”) and the physician self-referral statute (“Stark”). The AKS

Zopec Medical – Battery Beast Fills The CPAP Power Gap

March 7, 2021
BLAINE, MN – Zopec Medical burnished its already solid reputation earlier this year when it responded to recent power outages, selling almost half of its inventory of CPAP and BiPAP batteries to DME providers in the Pacific Northwest. The batteries