DME Marketing Concerns: The Anti-Kickback Statute
Healthcare providers, including DME suppliers, must approach the utilization of marketing representatives much more carefully than non-healthcare providers.
Scrutiny Of Medicare Advantage Plans
President Lyndon B. Johnson signed the Medicare Act into law in 1965. This set up the Medicare system that is designed to provide health care for the elderly and disabled.
Subcontract Arrangements: Key Issues
Third-party payor (TPP) contracts include Medicare Advantage (MA) contracts, Medicaid Managed Care (MMC) contracts, and employer-sponsored group health insurance contracts.
PDAC Verification Process: The Initial Application
The PDAC, which is a Medicare contractor, handles code verification.
CMS Addresses Change Healthcare Disruption
The Agency will consider applications for advance payments for Part B suppliers impacted by the Change Healthcare/Optum Payment Disruption.
Requesting An Office Of Inspector General Advisory Opinion
In the non-health care space, contracts, business arrangements, and joint ventures need to make sense from a financial standpoint.