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

Why Should You Attend:

This webinar will walk attendees through the process of how to do the following:

• How to get a Medicare DME PTAN #
• Understanding the Anti-Kickback Statue and 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

Areas Covered in the Webinar:

• Business Opportunities - Is Medicare a good business opportunity for DME? What are the limitations?
• Legality - Can I really bill Medicare legally? How do I go about it?
• How do you build a legal compliance program that protects you from the Anti-Kickback Statue and Stark Act and the risks if you don’t?
• Operational necessities guidelines to protect you from the Medicare audit.

Who Will Benefit:

Doctors, owners and administrators of these general practice or these specialties:

• Pain Management
• Orthopedic
• Neurological
• Chiropractic
• Podiatry
• Physiatrists
• 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 Start 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 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 needless 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 Statue.

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