Latest in: Billing/Reimbursement

CMS Announces 6.4%-9.1% CPI-U Adjustments for DME in 2023

WASHINGTON, D.C. - CMS recently published DMEPOS Medicare fee schedule adjustments for calendar year 2023. Adjustments differ depending…

December 9 2022

Tomorrow Health Launches Clinical Rules Engine

NEW YORK – Medtrade exhibitor Tomorrow Health (team members shown here at a recent Medtrade) has launched Clinical…

December 9 2022

Hospice/DME Supplier Agreement: Key Provisions

AMARILLO, TX - Medicare pays a hospice under Part A. This means that when a DME supplier provides…

December 9 2022

Anti-Kickback Statute, Stark, And Other Compliance Issues

AMARILLO, TX - 2022 has been an eventful year and 2023 will certainly not be boring. With 78…

December 2 2022

How Medicare Advantage Plans are Paid

AMARILLO, TX - The original impetus for allowing private insurers to provide Medicare benefits was to reduce costs…

November 23 2022

Patient Financial Assistance Program: OIG Guidance

AMARILLO, TX - Almost 50% of Medicare beneficiaries are enrolled in Medicare Advantage Plans (“MAPs”). This percentage will…

November 18 2022

Joint Venture Between DME Supplier and Hospital

AMARILLO, TX - A mechanism for a hospital to work with patients post-discharge is for the hospital to…

November 11 2022

Kickback, Inducement, And Physician Self-Referral: A Primer

AMARILLO, TX - DME suppliers need to always be aware of the federal anti-kickback statute, the federal beneficiary…

November 5 2022

Questionable Actions by Medicare Advantage Insurers: The Dialogue Escalates

AMARILLO, TX - As discussed in previous Medtrade Monday articles, over the last 12 years, while the DME…

October 14 2022

60-Day Rule: Guidance for DME Suppliers

AMARILLO, TX - Years ago, when a DME supplier would determine that Medicare had previously paid claims to…

September 24 2022