Medicare DIS-Advantage?
As I was editing this issue’s story on Medicare Advantage plans (page 10), I was interrupted by a robo-call that promised me “$180 a month cash, plus dental and vision coverage, and more!”
“All you need to do is confirm that you are currently enrolled in Medicare Part A and B,” the robotic voice added. “Are you currently enrolled in Medicare Part A and B?”
“No,” I said truthfully.
“Great!” the robot said. “Sounds like you qualify! I’ll connect you now with an expert who can get you enrolled in our plan today!”
Which of course is exhibit A of what’s wrong with too many Medicare Advantage plans: aggressive, misleading, over-simplified recruitment by rote that doesn’t begin to fully explain what makes those $180 checks possible. The robot should have hung up on me when I said I was not currently enrolled in Medicare Part A and B. But instead, I was transferred to a call center of reps motivated to sign me up, regardless of whether their Medicare Advantage plan was a good fit for me or not.
(Then I paused my editing to answer another robo call. No kidding.)
This issue’s theme is innovation, and our stories celebrate our New Product Award winners (page 4) and a selection of the latest and greatest products and services (page 12) you’ll see at Medtrade in Dallas in March.
But this issue also includes that Medicare Advantage conversation with Craig Douglas, senior vice president, HME, respiratory, and wellness, VGM & Associates, and Dan Fedor, director, reimbursement and education, VGM & Associates/U.S. Rehab. Because innovation in the home medical equipment (HME) industry must include policy and funding. If patients don’t have access to the best possible HME products and services, even the best engineering, design and manufacturing efforts fall short of producing the best outcomes.
And so many Medicare Advantage plans additionally restrict not just its in-network physicians, but also the HME providers that beneficiaries can use. At the very least, that can force patients to part ways with providers they’ve worked with for years. For patients living far from major urban areas, an innetwork HME provider could be hours away.
So as we start a new year, with a new administration in Washington, D.C., and prepare to head to Medtrade, this digital edition is a reminder that innovation can — and must — take many forms if American health care is to focus on patients and the best results for them and their families.
Excuse me: My phone is ringing again. HMEB
Laurie Watanabe, Editor
lwatanabe@wtwhmedia.com @CRTeditor
January-February 2025
hme-business.com
CO-FOUNDER & CEO, WTWH MEDIA Scott McCafferty
EDITORIAL VP, EDITORIAL DIRECTOR Tim Mullaney
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HME Business (ISSN 1940-6479) is published 4 times a year: January/February, April/May, July/August, and October/ November, by WTWH Media, LLC., 1111 Superior Avenue, 26th Floor, Cleveland, OH 44114.
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2024 New Product Award Winners
HME Business unveils innovative HME technology, services to watch for in 2025
By Laurie Watanabe
Innovation within the home medical equipment (HME) industry very often feels like a miracle. Consider the challenges facing newly designed products coming to market.
Think about the long regulatory roads that many new products must travel, along with the perpetually restrictive reimbursement rates from insurers. Consider business services that need to offer robust functionality, while also being easy to learn and quick to fit into the existing structure and routine of an HME provider’s business. Imagine how so many devices are called upon to be strong and durable, but lightweight. Robust in capabilities, but in a small, easy-to-carry package. Feature rich, but still affordable. Packed with consumer- and caregiver-friendly functions and designed for convenience, but only reimbursable for their medical necessity.
Yet, innovation somehow finds a way. Or more accurately, engineering teams find a way, based on input from consumers,
caregivers, referral sources, clinicians, repair technicians, regulatory experts, and of course, providers.
Each year — thanks to our judges (whose identities are kept confidential) — HME Business recognizes HME products and services that feature innovations that demonstrate a deep understanding of what providers and their patients need.
The products and services honored here are not prototypes or blue-sky ideas. They are not incremental updates or minor upgrades to existing products. Our winners demonstrate creative thinking and breakthrough engineering at their finest — new ways to approach challenges, some of them very old, some of them more recent and in response to an evolving world of technology and patient needs.
Our thanks to our judging panel for sharing their thoughts and perspectives, and congratulations to the winners. Our next awards program starts this fall. HMEB
Fits F20 CPAP Cushion
The Fits F20 cushion is a non-OEM replacement that uses a unique nose bridge stabilizing system to provide maximum mask seal, and as a result, optimal patient comfort. The design also makes the cushion easier and more convenient to clean for patients. Available in small, medium and large sizes, the Fits F20 cushion carries a guarantee for patient satisfaction for comfort, and provides an option for home medical equipment businesses looking to control and manage their costs while still providing top-quality products to customers.
Advanced Medical Resources (913) 908-7007
https://sleeptightcpap.com
The aptly named iGo2 combines state-ofthe-art home oxygen therapy with portability to support patients’ active lifestyles inside and outside of their homes. The iGo2 POC features auto-adjusting SmartDose technology, Bluetooth connectivity, greater oxygen capacity, and an improved user interface. Six bolus sizes are available in SmartDose mode. The iGo2 boasts best-in-class conserver trigger sensitivity, a proprietary compressor design, and a sophisticated sieve bed integrity filling system. The battery is easy to remove, even for patients with dexterity impairments. The FAA-compliant concentrator weighs less than 5 lbs. and comes with a convenient carry bag.
Drive DeVilbiss Healthcare (516) 998-4600
www.drivemedical.com
New Hire Technician Program
The ATLAS-FIOS team of experts will help repair departments to acquire technicians with the skills and aptitude providers need. The New Hire Technician program will develop structure and pathways to advancements, using promotions and pay raises that are designed to incentivize technicians to remain with your company. The program is designed to save up to 80% of the new hire salary for up to 18 months. Hiring, training and retaining employees is a challenge in every industry, but HME/CRT technicians are especially difficult positions to fill. ATLAS coaches have direct provider experience with repair centers, operations, revenue cycles, purchasing, leadership and team development.
ATLAS-FIOS (702) 425-3875
https://atlasfios.com
The Nitro Sprint’s integrated “slow-down” brakes provide enhanced control as users navigate hills and ramps, while the brake’s location on the inner rim of the tire reduces wear and tear. The wider backrest features a window for improved comfort and stability. A built-in accessory mount makes it easy to add a cup, cane, smartphone holder or tray to support users on the go. For caregivers and providers, the Sprint’s design makes it easier to change the enclosed brake cable, and this rollator folds side to side with one hand, then remains locked for easy, safe transport. Storage bags can be mounted in three different locations to reduce fall risk when users reach for them.
Drive DeVilbiss Healthcare (516) 998-4600
www.drivemedical.com
Designed for people with limited strength and mobility, the Bellavita Dive Bath lift provides a safe, comfortable bathing experience. Users can lower themselves to within 2.6" of the tub bottom at the touch of a button to ensure immersion. The Bellavita’s innovative dualcolumn design provides superior stability for users up to 300 lbs. when rising, lowering and transferring — and the design has been shown to provide more stability during transfers, when more weight is typically concentrated on one side of the lift. The 21.8lb. weight makes this lift easy to maneuver and transport. The backrest reclines 50° for improved comfort and support.
Drive DeVilbiss Healthcare (516) 998-4600
www.drivemedical.com
This versatile, robustly featured Group 2 power chair is designed to enhance mobility and comfort for users with varying needs. The Avid Ultra 3A has power tilt from 0° to 50°, 12" seat elevation, and an articulating foot platform. Tension-adjustable front and rear suspension provide a smoother ride with multiple seat-tofloor height options (16.5" to 19.5"). Adjustable seat width and depth (16" to 22") ensure a customizable fit for optimal comfort and support. The Ultra 3A has a top speed of 5 mph and a per-charge range up to 12 miles.
Merits USA (941) 280-0402
https://meritsusa.com
Bellavita Dive Bath Lift
iGo2 Portable O2 Concentrator
Nitro Sprint Rollator
Avid Ultra 3A
Freedom Folding Ramp
Freedom folding ramps feature a unique tri-fold design to fold into small, portable footprints. Even a 12' ramp folds to only 4' long to easily fit into the back of the smallest cars. Comfortgrip handles, sturdy wheels and separation into three sections result in easy transport and accessibility. The lightweight, yet extremely sturdy recycled aluminum construction can support an 800-lb. load. The high-traction surface milled directly into the aluminum eliminates slip risk for users, compared to sandpaper veneer used by other ramps. A 3.5" safety curb built onto each side of the ramp works to prevent falls and feelings of instability. The ramp comes in three sizes: 8', 10' and 12'.
National Ramp (845) 358-0350
www.nationalramp.com
The Jazzy Air MED, HCPCS-coded K0830 and K0831, offers 12" of power seat elevation to provide greater access to users’ environments. Riders can also drive up to the power chair’s top speed of 3.71 mph, even when fully elevated. The Jazzy Air MED is available with captain’s seating or with a solid seat pan, and provides maximum stability thanks to Active-Trac suspension with Mid-Wheel 6 technology. Users can travel up to 14.1 miles on single charge (at 220-lb. user weight) or up to 13 miles at its full 300-lb. weight capacity. Other features include a foot platform with 2" of adjustment for comfort in elevated/non-elevated positions, and dualsided caster forks for enhanced maneuverability.
Pride Mobility (800) 800-8586
www.pridemobility.com
Go Go Carbon
This foldable, lightweight scooter features a full carbon fiber frame that weighs just 35 lbs. without battery to make the vehicle easy to pick up and transport. In a few seconds and by following a few steps, the Go Go Carbon folds into a compact bundle and can be towed like luggage or placed into car trunks and other tight spaces. Using near-field communication technology, the Go Go Carbon starts up with a quick tap of its key fob and offers users enhanced security for the scooter. The console has a vibrant color display for easy communication. The scooter has a weight capacity of 300 lbs., a top speed of up to 3.7 mph, and a range of up to 10 miles.
Pride Mobility (800) 800-8586
www.pridemobility.com
From recruitment to retention, TBO’s Superior Training Model is designed to redefine healthcare staffing. The stringent selection process and customized training programs ensure clients receive pre-screened, highly qualified health-care personnel ready to enhance service quality and operational efficiency from day one. All personnel complete an in-depth eight-week training program and are ready to join client teams within days, not weeks. This model invests heavily in rigorous education and preparation for virtual staffers, significantly improving both their capabilities and the operations of the health-care practices being served.
Tactical Back Office (816) 423-9571
https://tacticalbackoffice.com
The stability of four wheels combined with the turning ability of a three-wheeler: That’s what the design of the Go Go Elite Traveller 2 offers. This travel mobility scooter has a turning radius of just 37" thanks to Pride Mobility’s EZ Turn Technology. As with other members of the Go Go family, the Elite Traveller 2 features feather-touch disassembly to quickly separate into five lightweight pieces, the heaviest of which is 35 lbs. With a top speed of 4.23 mph and a weight capacity of 300 lbs., the Go Go Elite Traveller has a range of up to 13.8 miles per battery charge. Interchangeable red and black shrouds come standard, with six more colors also available.
Pride Mobility (800) 800-8586
www.pridemobility.com
DME/Rx E-Commerce Protection Accreditation Program
The DME/Rx e-Commerce Protection (e-CP) accreditation program is designed to safeguard pharmacies and DMEPOS providers conducting business online, ensuring they meet the highest standards of security and compliance, while safeguarding patient data and privacy. Developed with a digital-first approach, DME/Rx e-CP accreditation supports the rapid evolution of health-care services across brick-and-mortar, e-commerce (via web and/or mobile app), and digital services. Mobile-first compliance focuses on secure mobile and web interactions, ensuring that sensitive patient and payment data are protected across all touchpoints.
The Compliance Team (215) 654-9110
https://thecomplianceteam.org
Jazzy Air MED
TBO Superior Training Model
funding & policy innovation
FOR PATIENTS … OR FOR PROFITS?
Medicare Advantage plans’ policies seem anything but patient centered
By Laurie Watanabe
For years, home medical equipment (HME) providers have dealt with the fallout of for-profit health insurance giants scooping up Medicare beneficiaries. And over the years, those entities — with their big marketing budgets — have continued to gain ground versus traditional Medicare. So what’s the Medicare Advantage (MA) forecast for 2025?
Craig Douglas, senior vice president, HME, respiratory, and wellness, VGM & Associates, and Dan Fedor, director, reimbursement and education, VGM & Associates/U.S. Rehab, shared their thoughts on MA plans ahead of their Medtrade educational session (they’ll be joined by Ronda Buhrmester, senior director of payer relations for VGM & Associates, in Dallas).
Medicare Advantage is here to stay Spoiler alert for those Dallas session attendees: MA plans are here to stay, and they’re complicating HME’s funding and policy landscape.
“They’re not going away,” Douglas said. “They’re going to continue. The sheer number of plans just adds to the complexities of what providers have to deal with on a day-to-day basis.
“That’s true for managed Medicaid to some extent, as well. You don’t just have to know what the state’s rules are when it comes to Medicaid — not when the state has brought three, four, 20 MCOs [managed care organizations] in to help manage a portion of the Medicaid program, just in one county or maybe statewide. Now you have to know all of their rules. That differs from when the state was running it themselves.
“So for all of these managed care plans, including managed Medicaid, it’s all-new contracting, new sets of rules, different places to go when things break down or when there are denials that you weren’t expecting. There are just a lot of added complexities.”
Fedor said Medicare Advantage conversations these days also commonly cover how the current environment came to be.
“There was traditional Medicare, and then there was traditional Medicaid,” he said. “And the point of that was to protect those who are in need from exactly what’s happening with for-profit insurance companies not doing the right thing. Traditional Medicare and Medicaid were there to have a social safety net for [beneficiaries].
“Then, since this has been allowed to expand, as Craig said, with growth over the years and what’s projected, it’s taking away that safety net, eroding it. You’re incentivizing people into thinking the grass is greener on the other side.”
Promises, promises
The HME industry has been concerned for years by MA plans’ aggressive marketing pitches, which have included meal delivery plans, gift cards, even monthly cash back for seniors who enroll.
“They don’t paint the whole picture,” Douglas said of those promises. “As they’re advertising or recruiting, they’ll tell you some benefits — or benefits at least on paper, like $180 a month to use on groceries. But there are a lot of other things that don’t make the commercials — like the shrunken networks. Not every Medicare provider is going to be in the MA network. So you’re going to have a lot fewer providers, whether that’s physicians or DME [durable medical equipment] providers. You’re going to have a lot fewer to choose from when you need those services. Your premiums could be different, your deductibles could be different, you’re likely going to see more denials.”
Since MA plans are required to cover what traditional Medicare covers, “Everything on paper looks cut and dry,” Douglas added. “The patient clearly qualifies for this equipment that’s been ordered. They meet all of the medical criteria, it’s a no-brainer that this will be covered, and then it comes back as, ‘This is denied. We’re not covering this.’ So they have to go through an appeal process, which may not get them to an ‘OK, we are going to cover it’ decision.”
“There’s no free lunch,” Fedor confirmed. “You think you’re getting a debit card to buy groceries, but then if you need medical equipment as an MS [multiple sclerosis] or
ALS [amyotrophic lateral sclerosis] patient, for example, or if you have a stroke and need medical equipment, you’re not going to get it. We’re dealing with these kinds of denials, which are exploding.
“Everything I’m seeing shows they’re getting even worse, which is unimaginable. How could they get worse than the past two or three years? But they are.”
Prior authorization change-ups
MA plans’ copious use of prior authorization is a well-known problem, even leading then-President Joe Biden to put MA plans on notice last November.
Fedor noted a new prior authorization trend, however, that should be especially concerning to providers.
“[MA plans] would deny prior authorizations,” Fedor said, of what’s typically happened in the past. “At that point, if a prior auth is denied, then the item (let’s say a wheelchair) is not being delivered to the patient. Therefore, all people involved are not happy (the patient, doctor, therapist and supplier). So, [the MA plans] felt a little bit more pressure.
“What I’m seeing now — and this has been the past six months — is [MA plans are] approving the prior auth, and then the supplier is delivering the product,” Fedor said. “The patient now has it. They’re not complaining. The physician’s happy, the therapist is happy. Then [the MA plans] deny the claim and make the provider fight [for payment] on the back end.
“So the only one that’s struggling is the provider. There’s one person complaining, or one entity. I’m seeing that [practice] explode.”
The problem with for-profits Ultimately, the MA question might come down to this: Can for-profit entities with shareholders to satisfy — i.e., MA plans — concurrently provide patient-centric care?
“We have to keep in mind the underlying reason for all of this is these insurance companies are for-profit,” Fedor said. “Traditional Medicare is not. That’s supposed to be a safeguard. Money is the motive, and that’s what we’re dealing with. What do we do now? I know that question’s out there: Can this even be done?”
Douglas pointed out that the difference between HME providers’ reimbursement and MA plans’ reimbursement is that in the provider world, “[reimbursement] doesn’t come until after the care that can be validated has already happened.”
The HME structure requires the provider to deliver medically necessary equipment, then provide documentation to be paid. But with an insurance company, “The money is already there,” Douglas pointed out. “The less they spend, the more they get to keep. So there’s an incentive to hold onto the premium dollars that have already come in from employers or individual patients who signed up for the plan. If claims come in that they ultimately don’t have to pay, it’s not like they have to pay any of that money back. They just get to keep what doesn’t get spent.”
Can an MA plan appropriately care for patients while also operating as a for-profit business?
“I think it could, if there were guardrails in terms of what level of profit an insurance company could have,” Douglas said. “That’s what insurance was designed to do: Companies need some healthy patients to offset the ones that incur a lot of expensive claims. So insurance companies pool the risk: This year, I’m not going to have any [major medical needs], so I’m helping to pay for somebody else’s. Next year, I might have some needs, and I’m going to rely on the rest of that pool to help cover my costs. That’s how it’s supposed to work. But [MA plans] are answering to their shareholders more than they are to [patients].” HMEB
Editor’s Note: MA at Medtrade Craig Douglas, Dan Fedor and Ronda Buhrmester are teaching the Medtrade course Dealing with Medicare DisAdvantage Plans: Are YOU Ready, Martha? on Wed., Feb. 19, from 11:15 a.m. to 12:45 p.m.
AAHomecare
The American Association for Homecare will host its annual Stand Up for Homecare fundraising reception on Feb. 19 from 5:30 to 7 p.m. at event venue d.e.c. on dragon in downtown Dallas. Funds raised at this year’s event will benefit the ITEM Coalition, an association of more than 80 patient advocacy groups who work together on home medical equipment and Complex Rehab Technology legislative and regulatory issues. Prior to the reception, AAHomecare will host its annual update on Feb. 19 from 2:15 to 3:15 p.m.
American Association for Homecare (AAHomecare)
(202) 372-0107
Booth #415 aahomecare.org/
Amylior
The Canadian manufacturer is best known for its complex powered seating, positioning, and power wheelchairs (mid-wheel-drive, rearwheel-drive/hybrid, heavy-duty, and pediatric models). But Amylior also provides CG Air therapeutic wheelchair seat cushions (pictured), and Stella rollators. Powered seating options include Amylior’s Alta power seat elevation. At Medtrade, Amylior is participating in CRT Live, taking place in aisle 1400, featuring educational presentations and demonstrations of Complex Rehab Technology products.
Amylior (888) 453-0311
Booth #1541 amylior.com
CRT Live
Making its debut this year, CRT Live is a dynamic new exhibit hall experience focusing on Complex Rehab Technology (CRT) for children and adults living with complex medical conditions and disabilities. Watch and listen to educational presentations by Amylior, Cubby Beds, Exokinetics, Nymbl Systems, RESNA, and Rifton, who will discuss clinical topics, industry updates, billing and reimbursement issues, and also present product demonstrations with plenty of hands-on opportunities for attendees to explore and try out CRT products and services. CRT Live takes place in the Medtrade expo hall on Feb. 19-20.
CRT Live
Aisle 1400 medtrade.com/attendee/new-crt-live/
National Ramp
Discover how National Ramp successfully partners with providers to help them sell more ramps, simplify installations, and maximize profits. See the innovative, award-winning Freedom Series three-fold portable ramps, and explore industry-leading, full-size modular ramps for long-term solutions. Learn about National Ramp’s world-class 3D configurator that brings designs to life. Dive into a robust dealer portal, with exclusive resources and support to help you succeed. Learn all the ways National Ramp empowers providers with tools, solutions, and unparalleled support.
National Ramp (845) 358-0350
Booth #1451 www.NationalRamp.com
Calling all race fans! ATLAS Technology’s booth will feature WinningtheRaceto Efficiency , a trio of racing simulators for attendees with a need for speed. ATLAS will also present multiple educational sessions: Power Wheelchair Technical Training (Feb. 18) by Matt Macpherson; Adding AI to Your Intake (Feb. 19) by Diana Escalara and Bret Tracy; and Navigating the Changing Landscape of Wheelchair Repairs (Feb. 20) by Matt Macpherson and Bret Tracy. ATLAS is also offering Medtrade special pricing on integration costs for a limited time.
ATLAS Technology (702) 809-6148
Booth #1115 www.atlastechnologyllc.com
Systems
Join Nymbl Systems at CRT Live for an engaging and informative experience. Nymbl’s booth will feature product demonstrations of its cutting-edge, mobile-first platform, showcasing AI-powered tools such as AI Notes and LMN that have significantly reduced administrative burdens and enhanced ATP productivity. Nymbl Systems CEO Josh Lau and Dan Fedor, billing and reimbursement expert and compliance director at VGM & Associates, will present “Driving Efficiency and Revenue Optimization for CRT Businesses,” providing actionable insights into optimizing operations and boosting revenue.
Nymbl Systems (859) 657-8324
Booth #1540 www.nymblsystems.com
ATLAS Technology
Nymbl
sovaSage
Meet Jeanie, the world’s first Virtual AI Sleep Coach, from full-service outsourced PAP compliance management with industry-leading live coaches and therapists, to tools to assist in managing PAP compliance follow-up internally. Including SmartFit mask selector, sovaSage has providers’ PAP compliance departments covered. Check out Jeanie’s new virtual PAP setup services: Manage new PAP patients via HIPAA-compliant telehealth communications, delivering educational materials and documentation, with optional outsourced respiratory therapists conducting setups on a provider’s behalf for additional scalability.
sovaSage (412) 216-1114 Booth #428 sovasage.com
Visit the “Accreditation Simplified” experts to ask about achieving “Exemplary Provider” status, and to ask about accreditation programs known for being inclusive and turn-key. Sub-specialty programs from The Compliance Team include accreditation for Complex Rehab Technology; orthotics and prosthetics; clinical respiratory services; patient-centered respiratory home accreditation; and DMEPOS retailer certification. Also ask about The Compliance Team’s pharmacy and home infusion therapy accreditation programs. The Compliance Team celebrated its 30th anniversary in 2024.
The Compliance Team (215) 978-9781
Booth #1310
https://thecomplianceteam.org/
Tactical Back Office (TBO)
Experience TBO’s innovative approach through ongoing demonstrations showcasing how highly trained virtual staffs seamlessly integrate with health-care organizations. TBO’s comprehensive program dramatically reduces overhead while improving staff retention, operational efficiency and dramatic cost savings. Learn how TBO experts handle real-time scenarios across the health-care spectrum, including patient intake, data management, billing, care coordination, and support services. An optimized compensation structure and extensively vetted talent pool deliver immediate ROI while maintaining superior service quality.
Tactical Back Office (TBO) (800) 558-7501 Booth #741 tacticalbackoffice.com
Universal Software Solutions
Universal Software Solutions provides innovative solutions for modern health-care providers in the post-acute care space. The HDMS product has offered patient, inventory and revenue management ideal for home medical and specialty equipment, disposable supply, P&O, and infusion/specialty pharmacy providers. The StowPoint product handles all content management needs, allowing word, image, audio and video files to be stored in one place. Providers leveraging both solutions can expect a tight integration. Universal Software Solutions offers both on-premise or hosted solutions.
Universal Software Solutions (810) 653-5000 Booth #1233 www.universalss.com
Sponsored by Valere Health, Tech Talks — located at the back of the expo hall’s 1100-1200 aisles — feature industry experts sharing insights on the latest trends and innovations via 30-minute sessions. Presentations are designed to be helpful to both seasoned professionals as well as up-and-coming providers, and will be interactive to encourage participation and networking. Tech Talk presenters include Deroyal Industries, Tennr, Parachute, Notable Systems, ATLAS Technology, Celeritas, Brightree, Mask Fit AR, Valere Health, Boostlingo, Synthpop, and Abbott Diabetes Care.
Tech Talks 1100-1200 aisle https://medtrade.com/highlights/
VGM & Associates
In addition to discussing various provider programs in its booth, VGM & Associates’ experts will deliver educational presentations on a wide range of topics, including alternative drive controls for power wheelchairs; compliance in e-commerce; maternity business growth; empowering sales teams; updates in the surgical dressing space; patient engagement in resupply; e-prescribing; Medicare (Dis) Advantage updates; the impact of patient pay policy; issues affecting pediatric enteral nutrition businesses; and transparency in coverage data. Stop by the VGM booth to learn about additional resources.
VGM & Associates (800) 568-7039 Booth #701 www.vgm.com
Tech Talks by Medtrade
The Compliance Team