New Medicare Standards for DMEPOS Suppliers
Understanding Operational Requirements, Medicare Enrollment and Billing Privileges, and False Claims Act Considerations
Recording of a 90-minute CLE webinar with Q&A
This CLE course will provide guidance for healthcare counsel for complying with the new supplier standards for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) to mitigate False Claims Act allegations and supplier enforcement actions.
Outline
- New DMEPOS supplier standards
- New standards added to existing supplier standards
- Licensing requirements and prohibition on outside contracting
- Telemarketing and solicitation of beneficiaries
- Physical location requirements
- Operational requirements
- DMEPOS enrollment and billing privileges
- New Medicare enrollment rules with DMEPOS suppliers as high risk
- DMEPOS Medicare reenrollment considerations and advice
- Responding to contractor inquiries
- Enforcement and False Claims Act considerations
- Key False Claims Act enforcement actions for DMEPOS suppliers
- Emerging trends in DMEPOS supplier enforcement
- Best practices for compliance and investigations
Benefits
The panel will review these and other key questions:
- How will the new DMEPOS supplier standards and heightened DMEPOS enforcement impact supplier policies and practices?
- In what ways do the new Medicare enrollment rules specifically target DMEPOS suppliers?
- What False Claims Act and enforcement considerations should counsel for DMEPOS suppliers take into account when designing compliance programs and responding to investigations?
Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.
Faculty
Nathaniel M. (Nate) Lacktman
Partner
Foley & Lardner
Mr. Lacktman handles matters involving fraud and abuse compliance, healthcare marketing rules, Medicare and Medicaid... | Read More
Mr. Lacktman handles matters involving fraud and abuse compliance, healthcare marketing rules, Medicare and Medicaid reimbursement, the Anti-Kickback Statute, physician self-referrals (the Stark Law), HIPAA, corporate compliance programs, licensing, contracting, change of ownership, confidentiality and information sharing, and policies and procedures.
CloseLisa A. Estrada
Partner
Arent Fox
She represents institutional healthcare providers and suppliers in government enforcement actions and investigations,... | Read More
She represents institutional healthcare providers and suppliers in government enforcement actions and investigations, cases under the False Claims Act and administrative litigation. Through this work, she has gained a solid understanding of healthcare fraud and abuse issues and frequently counsels a broad range of health industry clients on compliance matters.
CloseDonna J. Senft
Principal
Ober | Kaler
She focuses on health care transactions and regulatory matters. She represents various providers, including hospitals,... | Read More
She focuses on health care transactions and regulatory matters. She represents various providers, including hospitals, nursing facilities, assisted living facilities, clinical laboratories, home health agencies, hospices, adult day care centers, rehabilitation agencies and DMEPOS suppliers, in Medicare and Medicaid certification and compliance issues, billing and reimbursement, and licensure.
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