This webinar will cover the legal risks in dispensing and billing Durable Medical Equipment, show how you can become legally compliant and review successful strategies in operating a successful DME Revenue Program for your practice.
Why Should You Attend:
By providing Durable Medical Equipment to their patients rather than referring it out, physicians can develop a new revenue stream while improving patient care. However the laws governing DME revenue are very strict and dangerous and you must have a Legal Compliance Program in place.
By understanding the laws, the procedures & processes you can feel comfortable knowing you provide a great program for your practice without the fear of not being legally compliant. This webinar will comprehensively review the laws, the Compliance Program and other operational processes and procedures to ensure you are legally compliant. We will also provide numerous strategies to capitalize on your revenue opportunities, maximize clinical outcomes and even lower overall healthcare costs.
Learning Objectives:
- How a DME Revenue Program is legal and actually desired by even Medicare.
- How to acquire a Medicare DME PTAN #.
- How to develop a Legal Compliance Program.
- How to incorporate “Best of Practice” strategies and operational guidelines.
Areas Covered in the Seminar:
- Medicare: How can I legally provide my Medicare patients Durable Medical Equipment in my office?
- What is a Medicare DME PTAN# and how do I obtain one?
- How to understand the Anti-Kickback Statue and be compliant?
- How to understand the Stark Act and be compliant.
- What are the processes and procedures necessary for a legally compliant program?
- How to be prepared for an audit by any insurance company?
- Billing: coding, modifiers and pricing.
- Strategic steps in operating a successful program.
- Risk verses rewards.
- Financial ProForma for your program.
Who Will Benefit:
This webinar will provide valuable info for physicians and their staff intending to dispense and bill for Durable Medical Equipment in their practice.
- Physicians
- Physician Assistants
- Administrators
- Billing personnel
- Compliance officers
Instructor Profile:
Gregory J. Simms, is President and founder of DME Advanta, LLC. In 2006, he developed the revolutionary new Durable Medical Equipment Revenue Program for the Healthcare Industry. He has provided this DME Revenue Program model successfully across the country. Gregory J. 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 for Durable Medical Equipment dispensing programs assisting physicians to get their Medicare DME license and providing a comprehensive Legal Compliance Program to be compliant with the Anti-Kickback Statue and Start Act.
His experience includes the Orthotics & Medical Device industries for the Orthopedic, Neurological, Chiropractic, Podiatric and Pain Management marketplaces, as well for Hospitals and Ambulatory Surgical Centers. He has vast knowledge in the areas of Managed Care and Insurance Reimbursement. He has been selected as a speaker at several industry annual meetings, has had published articles in Orthopedic industry periodicals, and provided numerous educational webinars.
Topic Background:
Physicians are looking anxiously for a new revenue stream with existing patients. Operational costs are rising but professional reimbursement from insurance companies is going down while patient loads are getting smaller. By providing Durable Medical Equipment to their patients rather than referring it out, they can develop a new revenue stream while improving patient care. However the laws are very strict and dangerous and you must have a Legal Compliance Program in place to stay out of harm’s way from the laws such as the Anti-Kickback Statue and Stark Act. Ignorance is not held as a valid excuse by the government and a practice can easily be shut down for not having the right Legal Compliance Program in place. It is very easy to get confused and proper guidance can help you avoid these regulations. Fines can be up to $15,000 per patient incident & Felony charges and be given.
