Arrangements Between Sleep Labs and DME Suppliers
AMARILLO, TX – An increasing number of patients are being diagnosed with obstructive sleep apnea (“OSA”). As a…
April 17 2021Latest in: Billing/Reimbursement
Federal AKS and Stark: A Recap
AMARILLO, TX – DME suppliers operate in a highly regulated environment. Suppliers need to comply with (i) federal…
April 9 2021CMS Guidance: Shipping and Billing CGM Refills Before Date of Service
AMARILLO, TX – Determining the date of service (“DOS”) for DME is dependent on the type of delivery…
March 27 2021Out-of-Network Supplier: Waiving Copayment
AMARILLO, TX – Historically, DME suppliers have billed CMS directly. This is known as “Medicare fee-for-service” (or “Medicare…
March 20 2021Stark and the In-Office Ancillary Services Exception
AMARILLO, TX – There are a number of federal anti-fraud laws that DME suppliers need to be aware…
March 13 2021Changes to Stark and the Anti-Kickback Statute – Part Three
AMARILLO, TX – Historically, health care in the United States has been based on fee-for-service (FFS). That is,…
March 6 2021Changes to Stark and the Anti-Kickback Statute – Part 2
AMARILLO, TX – Historically, health care in the United States has been based on fee-for-service (FFS). That is,…
February 27 2021Changes to Stark and Anti-Kickback Statute – Part 1
AMARILLO, TX – Historically, health care in the United States has been based on fee-for-service (“FFS”). That is,…
February 20 2021CERT Data Shows 31.8% DMEPOS Improper Payment Rate
WASHINGTON, DC – Late last year, CMS published the 2020 Medicare Fee-For-Service Supplemental Improper Payment Data. This is…
February 6 2021Athenahealth Kickback Settlement: Lessons for DME Suppliers
AMARILLO, TX – On Thursday, January 28, 2021, the Department of Justice issued the following press release: Athenahealth,…
January 31 2021