Medicare Advantage Plans and Medicaid Managed Care Plans: Cliff’s Note Version
AMARILLO, TX - Previously, I wrote a series of articles addressing Medicare Advantage Plans and Medicaid Managed Care…
September 15 2022Latest in: Billing/Reimbursement
Working with Lead Generation Companies
AMARILLO, TX - The Department of Justice (DOJ) and Office of Inspector General (OIG) are scrutinizing arrangements that…
August 19 2022Re-Starting the 36-Month Oxygen Rental Period
A new 36-month rental period can begin only in the following situations: After the five year reasonable useful…
July 29 2022Baird: Latest On Loan Closets
AMARILLO, TX - A “loan closet” is also known as a “stock and bill”...which is also known as…
July 23 2022Interest-Free Financing: OIG Advisory Opinion
AMARILLO, TX - The federal anti-kickback statute (“AKS”) is very broad. The AKS makes it a criminal offense…
July 8 2022Compensating Marketing Reps of Affiliated Companies
AMARILLO, TX - One of the safe harbors is the “Employee Safe Harbor.” It states that if a…
June 25 2022Negotiating Managed Care Contracts
AMARILLO, TX - Historically, DME suppliers have taken care of Medicare patients and have billed CMS directly. This…
June 10 2022Personal Services and Management Contracts Safe Harbor: OIG Guidance
AMARILLO, TX - All health care providers, including DME suppliers, should be aware of the federal anti-kickback statute…
June 6 2022Federal Laws: A Primer
AMARILLO, TX – DME suppliers live in the proverbial “glass house.” If a supplier is doing something it…
May 27 2022Exceptions to the Beneficiary Inducement Statute
AMARILLO, TX – Section 1128A(a)(5) of the Social Security Act (the “Beneficiary Inducement Statute”) prohibits a person from…
April 22 2022