How to Increase your Revenue by Billing for Durable Medical Equipment and Stay Legally Compliant

Why Should You Attend:

Learn that treating your patients with Durable Medical Equipment (DME) can be great for patient clinical outcomes, a great revenue stream and can be legally compliant. It will also lower healthcare costs from unnecessary surgeries and faster rehabilitation. However one must know how to get the proper licensure and know the federal and state guidelines. In this webinar, attendees will learn how to deal with insurance companies that constantly deny every claim they can for any reason possible.

Learning Objectives:

• Business Opportunities
• Legality
• Myths vs. Reality
• Operational Necessities Guidelines

Areas Covered in the Webinar:

• Key strategies of a successful program
• Understand best revenue opportunities
• How to get a Medicare DME PTAN #
• Build a solid business process to prevent and attack audits
• In-network and out-of-network capabilities
• Understanding the Anti-Kickback Statue and Stark Act
• Development of a legal compliance program
• What to do before you dispense
• The three keys to billing all insurance companies to ensure payment and eliminate denials

Who Will Benefit:

Doctors or administrators of these general practice or these specialties:

• Pain Management
• Orthopedic
• Neurological
• Chiropractic
• Podiatry
• Physiatry
• Family Practice and Internal Medicine

Instructor Profile:

Gregory J. Simms, president and CEO, founded DME Advanta, LLC in 2006 where he developed a 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.

Mr. Simms has over twenty years of experience at the executive level in the medical, healthcare and consulting industries. His expertise is in the area of legal compliance, billing, coding operational management, and inventory for durable medical equipment revenue programs. He also assists physicians to get their Medicare DME license and provides a comprehensive legal compliance program to be compliant with the Anti-Kickback Statue and Stark Act. He has experience in the orthotics and medical devices industries for the orthopedic, neurological, chiropractic, podiatric and pain management marketplaces, as well for hospitals and ambulatory surgical centers. He is an industry expert who has been selected as a speaker at numerous industry annual meetings, has had published articles in orthopedic industry periodicals, and provided numerous educational webinars.

Topic Background:

All practices are facing the fact their professional services reimbursements are shrinking from all insurance companies including 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 third parties because they have been told and believe it is illegal to bill Medicare patients or the DME business is not profitable. For DME many payers including Medicare and they can be excellent payers but you must understand how to get the necessary DME licenses, how to bill them and how to deal with insurance companies legal guidelines to prevent audits. You also must be compliant with federal guidelines such as the Stark Act and Anti-Kickback Statue.

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