More stock and bill
Joe Sansone
Description
Collection
Title:
More stock and bill
Creator:
Joe Sansone
Date:
8/22/2001
Text:
Thanks for your words of wisdom. You have hit the nail on the head. If
under a stock and bill arrangement Medicare products are billed by the DME
company, while the physicians staff provided the product, then fraud has
been committed. As for employing the physician's staff, that would only
pass the legal smell test if the employees were compensated exactly for the
work performed, which would then make their salary fluctuate with volume,
thus looking like inducement. Stock and Bill programs can be done legally,
but it seems only rarely.
Joe Sansone
C.E.O.
TMC Orthopedic
www.tmcortho.com
> -----Original Message-----
> From: Ted A. Trower [SMTP: <Email Address Redacted> ]
> Sent: Saturday, August 18, 2001 6:32 AM
> To:
> Subject: Re: [OANDP-L] Stock & Bill
>
> The issue I've not seen addressed in any of the discussions of Stock and
> Bill arrangements is the fact that the reimbursement for all the L-codes
> includes the compensation for the time necessary for proper assessment,
> fitting, delivery, and follow-up adjustments for the item in question. As
> I had it explained to me billing an L-code without having been the party
> to
> provide these services constitutes fraud. Does the fact that they
> employ
> the physician's staff to provide these services protect them from this
> charge?
> Ted A. Trower C.P.O.
> A-S-C Orthotics & Prosthetics
> Jackson, MI, USA
>
>
under a stock and bill arrangement Medicare products are billed by the DME
company, while the physicians staff provided the product, then fraud has
been committed. As for employing the physician's staff, that would only
pass the legal smell test if the employees were compensated exactly for the
work performed, which would then make their salary fluctuate with volume,
thus looking like inducement. Stock and Bill programs can be done legally,
but it seems only rarely.
Joe Sansone
C.E.O.
TMC Orthopedic
www.tmcortho.com
> -----Original Message-----
> From: Ted A. Trower [SMTP: <Email Address Redacted> ]
> Sent: Saturday, August 18, 2001 6:32 AM
> To:
> Subject: Re: [OANDP-L] Stock & Bill
>
> The issue I've not seen addressed in any of the discussions of Stock and
> Bill arrangements is the fact that the reimbursement for all the L-codes
> includes the compensation for the time necessary for proper assessment,
> fitting, delivery, and follow-up adjustments for the item in question. As
> I had it explained to me billing an L-code without having been the party
> to
> provide these services constitutes fraud. Does the fact that they
> employ
> the physician's staff to provide these services protect them from this
> charge?
> Ted A. Trower C.P.O.
> A-S-C Orthotics & Prosthetics
> Jackson, MI, USA
>
>
Citation
Joe Sansone, “More stock and bill,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 16, 2024, https://library.drfop.org/items/show/217129.
