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I wish....no, I'm already doing quite well serving 3500 enteral patients and 12,000 diabetic patients at home supported by dietitians who actually visit the patient monthly.  I've billed Medicare tens of millions per year since 1979. I follow these things closely as I begin another career as an RAC to help our industry. You know what you've been doing and there are many in the DME industry has looked at this with dismay. This guy Bierman actually did something about it. If you people don't have the infrastructure to do things properly, you shouldn't be billing a homecare equipment item. The items we provide all require rental choice and medical duration of need or it does not get paid. Patient follow up and continued care is required. These are basic Medicare rules. Better double check with your accreditation manual. We are just happy to see this issue surface. We just took a 9.5% hit because of budget constraints and you guys overbill Medicare $100mil a year. Maybe it should be competitively bid and you 4 can get together for coffee, keep the margins at 7000%. Maybe it's guys like you is why they started competitive bidding in the first place.