NEWSWIRE
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Proposed manufacturer-provider relationship poses 'substantial risk' |
10.16.2006
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WASHINGTON - The Office of Inspector General has advised a wheelchair manufacturer that providing advertising assistance and reimbursement consulting services to certain suppliers might not be such a good idea. The arrangement, if implemented, could be subject to penalties, the OIG stated in a recent advisory opinion. "(It) poses all the usual risks associated with kickbacks," the opinion reads. "There is a substantial risk of driving overutilization and increasing program costs." Per the proposed arrangement, the manufacturer would provide suppliers with free TV, Internet and print ads featuring its products. The ads would direct consumers to suppliers or to a call center financed and operated by the manufacturer. The manufacturer would select suppliers based on demographics, historical market data and projected market potential. The manufacturer would also provide certain suppliers with reimbursement consulting services by helping them to code products and obtain payment for products sold to particular patients. The manufacturer would also help suppliers review and assess claims, as well as appeal denied claims. Providing ads and consulting services to certain suppliers might trigger the anti-kickback statute for the following reasons, the OIG stated: - The availability and value of the advertising assistance would be determined in a manner that takes into account the volume or value of a supplier's past or expected future purchases. - The reimbursement consulting services could cause beneficiaries to receive greater quantities of--or more expensive--equipment than they actually require. - The arrangement would give suppliers an incentive to steer patients to the manufacturer's products, even if the products from other manufacturers were less expensive or more appropriate. - The arrangement would also pose a substantial risk of unfair competition by encouraging suppliers to purchase DME from the manufacturer to the potential detriment of a competing manufacturer. "There is a substantial risk that the proposed arrangement would be a disguised kickback scheme having as one of it purposes the generation of business payable by a federal healthcare care program for the manufacturer," the OIG stated. The manufacturer requested the OIG's opinion.
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HME News Info Center |
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| 8-8 They’re Auditing Me! What Do I Do Now? | Attendance is $99
During this event, Andrea Stark will walk you through the entire audit process step-by-step, from the moment you receive a request for additional documentation, through the time you submit your initial response and (if necessary) your appeal. Most importantly, Andrea will ensure you gain a clear understanding of your full rights while undergoing an audit.
For more information or to register, visit: http://www.miravistallc.com/recent_services.php.
| | 13-13 “Contracting Time is Here: Do You Know Your Game Plan?” | In Cincinnati on July 13.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 13-13 Pre-Payment Reviews and RAC Audits | “Pre-Payment Reviews and RAC Audits: Steps to Prepare for and Survive These Life-Altering Events," presented by Jeffrey Baird, Esq., Brown & Fortunato, P.C. Call AAHomecare for details: 703.836.6263.
| | 14-14 “Contracting Time is Here: Do You Know Your Game Plan?” | In Pittsburgh on July 14.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 15-15 “Contracting Time is Here: Do You Know Your Game Plan?” | In Orlando July 15.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 20-20 "Contracting Time is Here: Do You Know Your Game Plan?" | In Dallas on July 20.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 20-20 Audits…a Four Letter Word | “Audits…a Four Letter Word: How to Prepare for and Respond to DME MAC and ZPIC Audits,” presented by Jeffrey Baird, Esq., Brown & Fortunato, P.C. Call AAHomecare for more details: 703.836.6263.
| | 21-21 "Contracting Time is Here: Do You Know Your Game Plan?" | In Kansas City July 21.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 22-22 "Contracting Time is Here: Do You Know Your Game Plan?" | In Charlotte, N.C., July 22
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 29-29 "Contracting Time is Here: Do You Know Your Game Plan?" | In Miami on July 29.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 29-29 Have PECOS Questions? Get Straight Answers, Live! | July 29, 2010 @ 2:00pm EST
Due to the increasing number of inquiries MiraVista is receiving regarding the July 6 PECOS physician enrollment deadline and January 3, 2011 rejection implementation date, we have decided to hold this timely PECOS webinar. The majority of the webinar will be held as an open forum for suppliers to ask and receive answers to their PECOS questions directly from DME consultant Andrea Stark.
Cost is $99. Register at: http://www.miravistallc.com/recent_services.php.
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| 9-9 DMEPOS Billing Workshop: Maintaining Compliance with the Medicare Program | August 9, 2010 – Columbia, SC – 9am-5pm EST
Whether you’re looking to reduce the number of audits you are receiving or need to stay up to date on current documentation requirements for various DME, this DMEPOS billing workshop is for you! Both seasoned billers and new trainees will benefit from this course, as Andrea Stark lays the foundation for continued compliance with the Medicare program, and provides updates on recent policy changes and claims edits.
Cost is $295 for the first attendee, $225 each additional. Register at: http://www.miravistallc.com/recent_services.php.
| | 10-10 "Contracting Time is Here: Do You Know Your Game Plan?" | In Cleveland on Aug. 10.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 17-17 "Contracting Time is Here: Do You Know Your Game Plan?" | In Riverside, Calif., on Aug. 17.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 19-19 Revisiting Patient Pay: Are you leaving $ on the table? | August 19, 2020 @ 2:00pm EST
Your front-end could be the reason patient AR is ballooning. Join Andrea Stark for this informative webinar and ensure you’re taking advantage of every opportunity to proactively secure payments and reduce future collection efforts.
Cost is $49. Register at: http://www.miravistallc.com/recent_services.php
| | 31-31 MESA Fall Conference 2010 | Aug. 31-Sept. 3 in Dallas. Wondering what the future holds for DME? For your company? Obviously, no one knows ... but we all hope for the best ... and the best idea is to be prepared. MESA's Fall Conference 2010, is sure to be a comprehensive, education- and information-packed event for the HME/DME provider and staff ... and an excellent way to get prepared for your company's future in the HME industry! FMI: http://www.mesanet.org/index.php?cid=5282&src=gendocs&ref=Fall_Conference_2010_Index&category=Conferences&curlid=495
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| 2-2 Can You Really Do That? Debunking Medicare Myths | September 2, 2010 @ 2:00pm EST
This webinar will set out to distinguish the difference between Medicare myths and reality. Participants will learn what is really acceptable under Medicare guidelines and will have the opportunity to get their own Medicare myths debunked.
Cost is $99. Register at: http://www.miravistallc.com/recent_services.php
| | 12-14 2010 HME News Business Summit | Data and Market Intelligence You Can’t Get Anywhere Else!
The tools and strategies you need to drive revenue and cut costs are at the 2010 HME News Business Summit. We deliver real-life case studies, original research and industry benchmarks. Join your peers for two days of top-notch education and networking.
Nashville Hilton Downtown
Nashville, Tenn.
To review the educational program: http://www.hmesummit.com/speakers.html
To register: https://www.b2bmediaportal.com/hmesummit/hmesummit.aspx
| | 13-17 Blue Ridge Symposium | Four conferences in one week. Choose your specialty or area of interest: Sleep Conference; Asthma Education;Home Care Conference; Respiratory Care Conference
Earn at least six CRCE/CEUs everyday
Location: Blue Ridge Shadows, Front Royal, Va.
Visit us on the Web at: www.valleyhealthlink.com/brs
Contact us at: brs@valleyhealthlink.com
or Call (540) 536-8941
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| 6-7 JAMES 2010 Annual Conference | This year's theme: "Barriers to Boomers - How to Overcome and Prosper." The conference will be held at the Ocean Place Resort & Spa in Long Branch, N.J. FMI: www.jamesofnj.org.
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| 16-18 Medtrade | Georgia World Congress Center in Atlanta.
Medtrade connects the HME industry. Stay ahead of HME industry changes and find the latest tools to help your clients. Join us at the largest home medical equipment even in the western US as we bring more exhibitors, more ideas, and more products than ever before.
Visit www.medtrade.com for more information and to register.
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