DME

All posts tagged DME

Webinar | I Bought a DME Business, Now What?

by admin on November 12, 2020 No comments

Attorney Michael Silverman of the Florida Healthcare Law Firm will again team up with Matt Gruskin, Credentialing Director of BOC, to bring you an information packed event. This presentation has been designed to provide expert insights on the essential operational keys to success in the DME industry. Michael will cover an array of topics related to compliant operations, from corporate structure and post-transaction considerations to compliant marketing arrangements and more. Matt will share some tips related to accreditation, including a peek at the process and the maintaining the credential. This is a can’t miss for DME businessowners!

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What’s the Deal with CMS’ DMEPOS Competitive Bidding Program?!?!?

by admin on November 6, 2020 No comments

By: Michael Silvermanfhlf dmepos competitive bidding

Round 2021 of Medicare’s DMEPOS Competitive Bidding (“CBID”) Program has been a doozy to say the least!

From the complexities of the new bidding process announced in 2019 that I initially wrote here and on this article through the uncertainty regarding whether Round 2021 would ultimately be implemented given the COVID-19 pandemic, the Round 2021 CBID Program that goes into effect on January 1, 2021 is shaping up to be much different than originally anticipated. Allow me to breakdown the changes between ‘then’ and ‘now’:

Video on Round 2021 of Medicare’s DMEPOS Competitive Bidding (“CBID”) Program.

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adminWhat’s the Deal with CMS’ DMEPOS Competitive Bidding Program?!?!?

Webinar | Obtaining and Maintaining your DME Medicare Billing privileges: A dive into the DMEPOS Supplier Standards

by admin on August 25, 2020 No comments

Medicare Part B DMEPOS providers are required to abide by all Supplier Standards in order to obtain and maintain their billing privileges. In this webinar, Attorney Michael Silverman will explain each of the 30 DMEPOS Supplier Standards so that providers are further educated about compliance requirements. Webinar register here button

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adminWebinar | Obtaining and Maintaining your DME Medicare Billing privileges: A dive into the DMEPOS Supplier Standards

CMS to Resume Healthcare Provider Audits

by admin on August 10, 2020 No comments

cms auditBy: Karina P. Gonzalez

CMS has announced that it will resume Medicare Fee-For-Service (FFS) medical reviews August 3, 2020 regardless of the status of the COVID-19 public health emergency. These audits have been suspended since March 30 as a result of the crisis and applied to prepayment reviews and post-payment reviews conducted by Medicare Administrative Contractors (MAC).

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Webinar | DME Hot Topics & Enforcement Trends

by admin on July 28, 2020 No comments

DME suppliers are integral in keeping patients healthy and out of the hospitals, now so more than ever with the spread of the coronavirus. In this webinar by attorney Michael Silverman, we’ll explore some of the laws and standards that have been temporarily relaxed to assist patient access to DME during the Public Health Emergency, as well as a compliance refresher on those regulations that have not changed.Webinar register here button

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Webinar | Adding DME to Your Chiropractic Practice

by admin on April 16, 2020 No comments

adding DME to your chiropractic practice Attorney Mike Silverman of the Florida Healthcare Law Firm will be co-hosting with Board of Certification Credentialing Director Matt Gruskin for a special presentation exclusively focused on the the topic of adding durable medical equipment (DME) to a chiropractic office. As attendees may know, adding DME is a great way to impact a supplier’s revenue, but most importantly is a fantastic mechanism to provide more complete patient care and satisfaction.

During this “lunch n’ learn” Mike & Matt will break down the steps necessary for a chiropractic office to provide DME to its customers, be it cash paying, commercially insured, or Medicare patients alike.

In case you missed it:

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adminWebinar | Adding DME to Your Chiropractic Practice

Webinar | Adding DME to Your Chiropractic Practice

by admin on April 7, 2020 No comments

adding DME to your chiropractic practiceAttorney Mike Silverman of the Florida Healthcare Law Firm will be co-hosting with Board of Certification Credentialing Director Matt Gruskin for a special presentation exclusively focused on the the topic of adding durable medical equipment (DME) to a chiropractic office. As attendees may know, adding DME is a great way to impact a supplier’s revenue, but most importantly is a fantastic mechanism to provide more complete patient care and satisfaction.

During this “lunch n’ learn” Mike & Matt will break down the steps necessary for a chiropractic office to provide DME to its customers, be it cash paying, commercially insured, or Medicare patients alike.

April 16 @ 12:00 pm – 1:00 pm

Free

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DME Fraud Enforcement: Telemarketing & Telemedicine

by admin on August 12, 2019 No comments

By: Michael Silverman

The indictments and regulatory activities that took place on April 9th were just the tip of the iceberg when it comes to the crackdown on DME fraud, telemarketing and telemedicine operations.

In the weeks and months that have followed ‘Operation Brace Yourself’, healthcare providers (such as DME suppliers and telehealth physicians) and telemarketers allegedly involved in these activities have been subjected to a wide range of penalties from suspension of Medicare billing privileges to civil penalties and/or criminal charges. Here are some of the more serious recent DME, telemarketing and telemedicine related civil and criminal regulatory enforcement actions:

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$1.2B Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives

by admin on April 9, 2019 No comments

Via justice.gov – One of the largest health care fraud schemes investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice resulted in charges against 24 defendants, including the CEOs, COOs and others associated with five telemedicine companies, the owners of dozens of durable medical equipment (DME) companies and three licensed medical professionals, for their alleged participation in health care fraud schemes involving more than $1.2 billion in loss, as well as the execution of over 80 search warrants in 17 federal districts.  In addition, the Center for Medicare Services, Center for Program Integrity (CMS/CPI) announced today that it took adverse administrative action against 130 DME companies that had submitted over $1.7 billion in claims and were paid over $900 million. Read on…

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admin$1.2B Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives

DME Provider Alert: Medicare Competitive Bidding is Back!

by admin on March 8, 2019 No comments

Medicare Competitive BiddingBy: Michael Silverman

Not tomorrow, but relatively soon. And with a vengeance! We knew the current Competitive Bidding Program moratorium wouldn’t last forever, and that the floodgates that opened as of the first of this year would eventually be reined in.

Indeed, on March 7, 2019 the Centers for Medicare and Medicaid Services (“CMS”) announced a new round of Competitive Bidding, which will commence on January 1, 2021 and last through December 31, 2023.

The largest changes from previous rounds of Competitive Bidding that immediately stand out are:

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adminDME Provider Alert: Medicare Competitive Bidding is Back!