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


Conducted on Thursday, April 7, 2011

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar 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.

Description

The Centers for Medicare and Medicaid Services (CMS) issued new standards for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) suppliers last September, expanding the requirements DMEPOS suppliers must meet to maintain Medicare enrollment privileges.

CMS has encountered several complications with implementing the standards. Questions abound regarding whether the new standards, particularly the rules regarding telemarketing and beneficiary solicitation, overstep legal boundaries.

Healthcare counsel advising DMEPOS suppliers should advise their clients to review and revise their polices, procedures and practices to ensure compliance with the new standards and survive heightened Medicare enrollment scrutiny.

Listen as our authoritative panel of healthcare attorneys examines current enforcement efforts targeting DMEPOS suppliers and reviews the new supplier standards and how they are being implemented. The panel will explain best practices to comply with the new standards and avoid or defend False Claims Act allegations and supplier enforcement actions.

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Outline

  1. New DMEPOS supplier standards
        1. New standards added to existing supplier standards
        2. Licensing requirements and prohibition on outside contracting
        3. Telemarketing and solicitation of beneficiaries
        4. Physical location requirements
        5. Operational requirements
  2. DMEPOS enrollment and billing privileges
        1. New Medicare enrollment rules with DMEPOS suppliers as high risk
        2. DMEPOS Medicare reenrollment considerations and advice
        3. Responding to contractor inquiries
  3. Enforcement and False Claims Act considerations
        1. Key False Claims Act enforcement actions for DMEPOS suppliers
        2. Emerging trends in DMEPOS supplier enforcement
        3. 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
Nathaniel M. (Nate) Lacktman

Partner
Foley & Lardner

Mr. Lacktman handles matters involving fraud and abuse compliance, healthcare marketing rules, Medicare and Medicaid...  |  Read More

Lisa A. Estrada
Lisa A. Estrada

Partner
Arent Fox

She represents institutional healthcare providers and suppliers in government enforcement actions and investigations,...  |  Read More

Donna J. Senft
Donna J. Senft

Principal
Ober | Kaler

She focuses on health care transactions and regulatory matters. She represents various providers, including hospitals,...  |  Read More

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