The campaign to engage Trump Administration decision makers and Capitol Hill on plans to restart the Competitive Bidding Program for DME continues without pause.

Medicare Advantage has increasingly been criticized for waste, fraud, and abuse. A key issue lies in how the government reimburses these private insurers.

VGM & Associates has added Angie McClure to its Corporate Accounts team as senior vice president of Corporate Accounts.

Medicare RAC reviews will introduce new complexities, including distinct coverage rules, medical necessity criteria, and documentation standards.

DME suppliers must not only satisfy traditional Medicare FFS requirements, but they must also satisfy Medicare Advantage Plans (MAPs).

Unlike large hospital systems that can better absorb administrative overhead, independent providers operate on razor-thin margins.