How to Bill Medicare for Durable Medical Equipment and Stay Legally Compliant

Event Information
Product Format
Prerecorded Event
Conference Date
Wed, Jul 19, 2017
60 minutes
Product Description

Correct Medicare Billing for DME to Increase Revenue and Stay Legally Complaint

All practices are facing the fact that their professional services reimbursements are shrinking from all insurance companies and especially Medicare. Patient loads are smaller due to the economy and operating costs are skyrocketing. Everyone needs to look at additional revenue opportunities with their own patient base while they maximize patient clinical outcomes.

Practitioners for years have been referring the business to O&P shops, manufacturers or 3rd parties because they have been told and believe it is illegal to bill Medicare patients and it is not profitable. Beside senior patients need the best standard of care to prevent unnecessary surgeries. For DME, Medicare is one of the best payers in the country but you must understand how to get their DME license to bill them and their legal guidelines such as the Stark Act and Anti-Kickback Statute.

Join expert speaker Gregory J. Simms where he provides strategies so your practice can achieve increased revenue and better service and outcomes for your patients. This session will cover all the details of how to bill Medicare for DME, increase your reimbursement and stay complaint.

Training Highlights

  • Strategic benefits when treating your Medicare patients with Durable Medical Equipment
  • How this program can be great for patient clinical outcomes, and a great revenue stream
  • How this program will also lower healthcare costs
  • Practice dynamics to ensure a successful program
  • How to get a Medicare DME PTAN #
  • Understanding the Anti-Kickback Statute & Stark Act
  • Development of a legal compliance program
  • Understanding the Medicare billing modifiers
  • Understand same or similar issues
  • Understanding the prevention of and protection from audits
  • The three keys to Medicare billing

 Session Agenda

  • DME revenue program benefits
    • Key criteria
    • Where to start?
    • Basic profitability opportunities
    • The ABCs of a successful program
  • Compliance questions
  • DME program – Is it legal?
  • The Anti-kickback statute
  • The Stark Act
  • DHS exceptions
  • Compliance processes
  • Delivery ticket
  • 30 supplier standards
  • Resolution protocol
  • Failure report
  • Option guarantee form
  • PTAN number and accreditation
  • First step to bill Medicare for DME
  • Understand who needs to become accredited
  • Billing core competencies
    • Billing Medicare
    • HCPC codes
    • Modifiers
    • Billing Medicare legal critical questions
  • Business plan
  • Strategic and financial ROI
  • Operational execution

Who should attend?

Doctors or Administrators of these general practice or these specialties:

  • Pain Management
  • Orthopedic
  • Neurological
  • Chiropractic
  • Podiatry
  • Physiatrist
  • Family Practice & Internal Medicine

At the Q&A session following the live event, ask a question and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-866-458-2965 Today

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About Our Speaker

Gregory J. Simms - Orthopedics Coding Training Expert


Gregory J. Simms, President & CEO founded DME Advanta, LLC. in 2006 where he developed this revolutionary new Durable Medical Equipment Revenue Program in the Healthcare Industry. He has provided this DME Revenue Program model successfully across the country for hundreds of medical practices in numerous practice specialties. Gregory J. Simms has over twenty years of experience at the executive level in the medical, healthcare and consulting industries....   More Info
More Events By The Speaker

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