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Education and Training
Medicare Advantage Plans: Government Oversight and Industry Advocacy
Presented by Jeff Baird, Esq. of Brown and Fortunato, Co-Presenter Laura Williard, AAHomecare
Medicare Advantage Plans (“MAPs”) have had tremendous growth in enrollment in recent years. DME suppliers quite naturally ask what the federal laws are that govern MAPs. This program discusses: the current MAP environment and the federal laws that govern them, how these laws affect DME suppliers as they provide services to patients covered by MAPs, the most important issues DME suppliers must face as they work with MAPs, and the work being done to educate Congress, CMS, and the industry and the resources available to help DME suppliers navigate these plans. Member Benefit | Nonmembers $129
Copayment Collection and Patient Assistance Programs
Presented by Jeff S. Baird, Esq. and Matthew D. Earl, Esq. of Brown & Fortunato
This program discusses (i) what it means to “make a reasonable effort” to collect copayments; (ii) how a supplier can implement a financial hardship policy that allows the supplier to waive/reduce a copayment on a patient-by-patient basis; (iii) point out that the existence of such a financial hardship policy cannot be advertised; (iv) how a DME supplier can implement a patient assistance program; and (v) how a supplier can access charities that may be in the position to assist patients in paying their copayments. Member Benefit| Nonmembers $129
Employee Retention Tax Credit: What It Means to DME Suppliers
Presented by Jeffrey S. Baird, Esq. and Allison L. Davis, Esq. of Brown & Fortunato
Since its inception in 2020, the Employee Retention Credit has been modified by federal statute and IRS regulations to relieve the ongoing financial struggles faced by employers. This webinar discusses the history of the Employee Retention Credit, including eligibility and value of tax credits available for wages paid between March 2020 and December 31, 2021. We also discuss how to retroactively claim the Employee Retention credits and common pitfalls to avoid when the DME supplier is amending its tax filing. Lastly, the webinar discusses how the DME supplier can avoid the scams that have arisen in conjunction with the Employee Retention Tax Credit. Member Benefit| Nonmembers $129
Billing Nonassigned: Steps to Succeed
Presented by Jeff Baird, Esq. and Lisa Smith, Esq. of Brown and Fortunato
Since its inception in the 1970s, the DME industry has been an “assignment” industry. A DME supplier would provide a product to a Medicare beneficiary, take assignment from the beneficiary, bill and collect from Medicare, and bill the beneficiary for the copayment. As a result of lower Medicare reimbursements, and in response to the willingness of aging Baby Boomers to pay cash for “Cadillac” products, an increasing number of DME suppliers are electing to become “non-participating” suppliers and are providing Medicare-covered items on a non-assigned basis. This means that the Medicare beneficiaries pay cash up front to the suppliers. This program will discuss the multiple issues arising out of transitioning from billing assigned to billing on a non-assigned basis, including the following: (i) What does it mean to bill non-assigned? (ii) If the supplier bills an item non-assigned, can the supplier set the price without limitation? (iii) Must the supplier submit a claim to Medicare so that the beneficiary can be reimbursed? (iv) Can the supplier sell a capped rental item for cash? (v) Does the supplier need to obtain documentation supporting medical necessity? (vi) Is the supplier at risk of having to repay Medicare and/or the beneficiary in the event of a subsequent audit?
Member Benefit | Nonmembers $129
How You Can Take Advantage of the 2024 Medicare Advantage Final Rule
Presented by Laura Williard, VP of Payer Relations, David Chandler, Sr Director of Payer Relations, and Alexis Ward, Sr. Director of Payer Relations.
On April 5, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that revises the Medicare Advantage (MA or Part C), Medicare Prescription Drug Benefit (Part D), Medicare Cost Plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to a series of requirements, including prior authorization, marketing and communications, health equity, provider directories, coverage criteria, network adequacy, and other areas. The full weight of the final rule will begin being implemented on 1/1/2024 and contains provisions which can prove helpful for DME providers in their interaction with Medicare Advantage Plans.
This webinar will provide helpful information to the DME industry on the CMS final rule – most importantly how the key points can enable better coverage for DME. Come learn how your business can leverage these new requirements to better serve your customers.