Lab Kickback Conviction: Lessons for DME Suppliers
On Nov. 19, 2025, the DOJ sentenced a Missouri Man to 10 years in prison for a $174…
November 25 2025Latest in: Billing/Reimbursement
Offshore Subcontracting: State Restrictions
Offshore subcontracting means outsourcing administrative or data tasks to entities outside the United States. Where and how is…
November 20 2025Did CMS Miscalculate Proposed Rental Rates for CGMs and Insulin Pumps?
The error is related to the cumulative supply allowances embedded in the reimbursement rate.
November 6 2025Contracting with Medicare Advantage Plans
Medicare Advantage has increasingly been criticized for waste, fraud, and abuse. A key issue lies in how the…
October 24 2025Medicare Advantage: Negotiating Strategies and Securing Contracts
DME suppliers must not only satisfy traditional Medicare FFS requirements, but they must also satisfy Medicare Advantage Plans…
October 16 2025Study Quantifies Claim Denials
Unlike large hospital systems that can better absorb administrative overhead, independent providers operate on razor-thin margins.
October 10 2025Subsidizing a Referral Source’s Expenses: Kickback Implications
The lesson for DME suppliers is that if they are going to provide services to a referral source,…
October 10 2025Exceptions Under the Stark Law
There are many exceptions to Stark. If an arrangement meets an exception, Stark is not violated. The following…
October 3 2025Legal Challenges Facing DME
DME suppliers are highly regulated and scrutinized. A goal of Federal laws is to protect taxpayer money from…
September 28 2025Reducing the Cost of Carrying Inventory
In today’s climate, profit margins are thin. DME suppliers must be innovative regarding the steps to take to…
September 11 2025