In the first guidance on how it will handle audits after the Covid-19 public health emergency, CMS offers clarifications on dates of service and the nature of the audits.
- By David Kopf
- Nov 10, 2022
Requests for additional documentation will be based on the number of claims a provider has in a category.
Business Solutions
Once again, we proofile 10 trends that will shape the HME industry this year. The far-reaching impact of Covid-19 is undeniable, but it’s not the only factor that will define 2022.
- By David Kopf
- Feb 01, 2022
Problem Solvers
Providers will see an increase in claims audits from Medicare and other funding sources in 2022. Audit expert Wayne van Halem offers insights into what they can expect for this year.
- By David Kopf
- Feb 01, 2022
Podcast
Providers will see an increase in claims audits from Medicare and other funding sources in 2022. Audit expert Wayne van Halem offers insights into what they can expect.
- By David Kopf
- Jan 19, 2022
Both audit program contractors have announced new audits for surgical dressings, enteral nutrition, and parenteral nutrition.
Observation Deck
With the COVID-19 audit pause well behind us, multiple indicators show CMS is quickly resuming audits in a big way. What do HME providers need to know?
- By Kelly Grahovac
- Sep 09, 2021
Observation Deck
- By Kelly Grahovac
- Aug 01, 2021
MACs may now conduct post-payment medical reviews of items and services with dates of service after March 2020.
- By David Kopf
- Jun 03, 2021
Several months ago CMS threatened it would resume its claims audits. Now that is happening and audit expert Wayne van Halem provides the details on what’s happening and what providers need to know.
- By David Kopf
- Apr 07, 2021
Top-line audit concern includes HHS OIG adding PAP supplies to Its workplan. Wayne van Halem will discuss several new, worrying audit developments and how to prepare for them in Dec. 11 webinar.
- By David Kopf
- Nov 26, 2019
Podcast
Sleep equipment providers risk facing costly six-year lookback audits in this new addition to OIG's workplan. How should they prepare?
- By David Kopf
- Oct 17, 2019
The medical device manufacturer says the certification will allow for more growth in the market and improved efficiency.
- By Haley Samsel
- Oct 14, 2019
Business Solutions
CMS's six-year lookback audits represent a daunting challenge for HME providers, but there are steps they can take to deal with them.
- By Holly J. Wagner
- Oct 01, 2019
Performant will only review HCPCS code A4253 and claims paid date must be within three years before the Additional Documentation Request.
- By David Kopf
- Jun 20, 2019
Provider Strategy
Understanding another 'new normal' for HMEs from HHS OIG.
- By Wayne van Halem
- Jun 01, 2019
California respiratory and sleep provider notches its fourth 12-month break from TPE audits.
- By David Kopf
- May 30, 2019
AAHomecare facilitates in-person meetings between lawmakers and industry advocates in Washington, D.C.; coordinates virtual fly-in for providers to remotely assist lobbying push.
- By David Kopf
- May 23, 2019
Latest installment in HMEB’s quickly growing podcast survey examines breast cancer legislation and six-year lookback audits.
- By David Kopf
- Mar 14, 2019
Business Solutions
Are you setting the right strategy for 2019? This marks our 11th annual survey of the 10 key trends that will impact the home medical equipment industry the most during the New Year. In this year's list, larger healthcare and retail trends could impact HME more than anticipated. As a result, this installment of the Big 10 list is a must-read.
- By David Kopf
- Jan 01, 2019