Any Medicare enrolled DMEPOS supplier that desires to service a Medicare Part B beneficiary with any medical equipment or device that is included in Medicare’s Competitive Bidding Program.
WHAT (is competitive bidding and what DMEPOS supplies are covered)?
In a nutshell, it’s essentially this: if a DMEPOS supplier wants to service a Medicare Part B patient with any of the following medical supplies covered by Medicare’s Competitive Bidding Program, such supplier must submit and win a ‘bid’ to provide such item in each and every geographic region covered by the Competitive Bidding Program in which they wish to be able to service beneficiaries within.
Attorney Michael Silverman will present this live lunch n’ learn webinar for those considering starting a DME business startup or wanting to reconsider some of the legal issues involved in the DME business. He will review the laws, options and risks, and share information regarding state licensure requirements, product offerings and enrolling in Medicare as a Part B supplier.
Adding Durable Medical Equipment Prosthetics & Orthotics Supplies (“DMEPOS”) to a Chiropractic Practice is a great way to not only increase revenues, but most importantly it is a great way to increase overall patient satisfaction and care.
Providing patients with easy access to DMEPOS allows for more comprehensive care, enabling providers to help further stabilize injuries, maximize patient recoveries, and minimize patient down time. Many existing patients are already buying and utilizing DMEPOS such as back braces, so there is an opportunity to provide that additional supervision and care through an existing practice.
Examples of DMEPOS that would complement a Chiropractic Practice and which patients are likely already using:
DME Compliance Alert: Department of Health and Human Services, Office of Inspector General, updated its work plan in January 2018 to include heightened scrutiny of off-the-shelf orthotic devices, specifically back braces for HCPCS Cods L0648, L0650 and L1833 due to one MAC identifying improper payment rates as high as 79 to 91 percent. Of specific concern is the lack of documentation of medical necessity, including Medicare beneficiaries being prescribed back braceswithout an encounter with the referring physician within 12 months prior to an orthotic claim being filed. The OIG plans to analyze billing trends nationwide, and expects to issue a report sometime in 2019.
Health law is the federal, state, and local law, rules, regulations and other jurisprudence among providers, payers and vendors to the healthcare industry and its patient and delivery of health care services; all with an emphasis on operations, regulatory and transactional legal issues.