Subsidization of Medicare Cost-Sharing: OIG Advisory Opinion
It appears that government enforcement agencies are backing away a bit from a strict reading of the wording…
January 1 2024Latest in: Billing/Reimbursement
Analysis Of 2024 Fee Schedule
As AAHomecare shared in its Dec. 20 alert, CMS has published the much-awaited CY 2024 DMEPOS fee schedule.
December 28 2023Collaborative Arrangements With Hospitals
Increasingly, we are seeing hospitals and DME suppliers work together. From the hospital’s standpoint, it is important that…
December 18 2023CMS Codifies Refill Rules
As of Jan. 1, 2024, CMS is codifying its policies regarding automatic refills for DMEPOS.
November 27 2023DME Supplier Warehouses: No PTANs Required
On condition that a DME supplier’s warehouse is exactly that – a warehouse – then it is not…
November 22 2023Sham Telehealth And Internet Leads – Legal Pitfalls
If a lead generation company contacts a DME supplier, then the supplier needs to either (i) run for…
November 17 2023Reference Lab Settlement: Lessons for DME Suppliers
You can't disguise kickbacks - and other lessons learned.
November 10 2023PET Scan False Claims Act Settlement: Lessons for Suppliers
On Oct. 10, 2023, the DOJ issued a press release discussing an $85 million settlement with Cardiac Imaging…
October 27 2023Employee Safe Harbor: Latest OIG Guidance
Most of a DME supplier’s gross revenue comes from federal health care programs (FHCPs), including traditional Medicare, Medicare…
October 20 2023Brightree Appoints New GM Of HME & Infusion Business
Brightree has appointed Gregg Timmons as new general manager of the HME & Home Infusion business unit.
October 19 2023