Collection From Managed Care
While the DME supplier has the superior legal position, the MAP has the superior practical position.
November 21 2024Latest in: Billing/Reimbursement
State Kickback Laws: Traps For The Unwary
Most savvy individuals in the DME space have at least a passing awareness of the federal anti-kickback statute…
November 8 2024Corrective Action Plan Vs. Reconsideration Request
What is the correct response to a letter from Provider Enrollment stating that the DME supplier’s PTAN is…
October 24 2024Medicare Advantage Fraud: Billions Lost In Overpayments and Political Influence
Medicare Advantage fraud has become a significant concern in the U.S. healthcare system.
October 4 2024Proposed Changes To The “60-Day Rule”
Three things in life are certain—death, taxes, and changes in the healthcare regulatory requirements.
August 30 2024Negotiating Medicare Advantage Contracts
A prevailing opinion is that managed care contracts are “take it or leave it.” While this is true…
August 8 2024Physician Convicted In $6.3 Million Medicare Fraud Scheme: Lessons For DME Suppliers
Critical lessons can be gained from recent investigations in the DME/orthotics space. By understanding these points, DME suppliers…
July 26 2024Keeping Your Medicare Number Active
Staying on top of your Medicare enrollment is more important than ever because your Medicare provider transaction access…
July 19 2024CMS Publishes CY 2025 Home Health Payment Proposed Rule
While the proposed rule primarily addresses home health agencies, it includes proposals that could affect DMEPOS.
July 11 2024Avoiding Fraud: Federal Guidelines
The DME industry primarily serves the elderly. As such, a large portion of suppliers’ income is derived directly…
June 26 2024