Billing Non-Assigned - Frequently Asked Questions - Part 3

Home Blog

Posted On: May 22, 2017 by Essentially Women in: Essential Advantage

AMARILLO, TX - The DME industry, as we know it today, has been around for about 40 years. It is a young industry. For the first 30 years of its existence, there was little government oversight on the DME industry. This has changed. Over the last 10 years, it feels like the government is making up for lost time. Today, the DME industry is caught in a "perfect storm": competitive bidding, reimbursement cuts, stringent documentation requirements, aggressive audits, and the proliferation of "whistleblowers." Some DME suppliers will implement "economies of scale" that will allow them to succeed in the Medicare fee-for-service ("FFS") arena. However, these suppliers will be the exception. Most DME suppliers can no longer build their business model on Medicare FFS. Most suppliers need to go outside their comfort zone and look for new sources of income. Said another way, suppliers need to lessen their dependence on Medicare FFS. For the last four decades, suppliers have primarily provided

Back to Top