After underpayments and costs, only $488 million goes to trust fund; DME overpayments account for less than 5% of overpayments.
- By David Kopf
- Feb 07, 2013
Observation Deck
In many cases, especially for power mobility devices (PMDs), a provider may not know whether a file meets all of the requirements until an audit occurs, due in part to the subjectivity of medical necessity documentation review.
- By Paul Komishock
- Feb 01, 2013
Accountability office meets with association to ask various questions regarding post-payment audit cocnerns.
- By David Kopf
- Jan 17, 2013
Problem Solvers
Increased funding and more Medicare claims processors could mean more audits for 2013. How should HMEs prepare?
- By Cindy Horbrook
- Jan 01, 2013
Audit consulting firm will help OGPA members in audits, compliance, appeals.
- By David Kopf
- Nov 29, 2012
Providers will be able to electronic respond to auditors’ documentation requests.
- By David Kopf
- Nov 08, 2012
Agency to tell contractors to suspend audits for providers affected by Sandy.
- By David Kopf
- Nov 08, 2012
Industry Roundtable
The coming year promises a rough ride for the industry. Providers face many issues: competitive bidding Round Two; the fight to replace it with the MPP; the continued assault of pre- and post-payment audits; the pending face-to-face rule; and pior authorization for power mobility to name just a few. HMEB’s editorial advisory board discuss these issues and more and share their insights on how providers should approach 2013.
- By David Kopf
- Oct 10, 2012
Audits
Although the denial rate may be improving, oxygen audits continue to challenge and frustrate providers. How can providers become oxygen audit ready?
- By Joseph Duffy
- Oct 01, 2012
VGM, providers, law firm submit document that informs Finance Committee of key problems with audit structure and their solutions.
- By David Kopf
- Jul 18, 2012
Leading Sens. and Reps. call for an examination into ‘duplicative efforts’ of Medicare audit contractors.
- By David Kopf
- Jun 28, 2012
House subcommittee chair blasts CMS for ‘incompetence’ in audit oversight.
- By David Kopf
- Jun 13, 2012
Medicare Audits
How to minimize the impact of Medicare audits by implementing practices that will ensure claims pass muster, as well as help the organization rapidly respond to auditors' documentation requests.
Editor’s Note
- By David Kopf
- Jun 01, 2012
Medicare Audits
How to minimize the impact of Medicare audits.
Software Audit Tools
How to leverage HME software to respond to audits.
Editor's Note
Two years have demonstrated that the madness of audits needs to stop.
- By David Kopf
- May 23, 2012
Open letter calls on professionals to provide 'fresh perspective' on identifying, fighting 'waste, fraud and abuse.'
- By David Kopf
- May 03, 2012
Observation Deck
The reality is that the Affordable Care Act has made it mandatory for all healthcare providers, at some point, to implement a comprehensive compliance program that meets or exceeds government expectations. Why not make the investment of the front end to better prepare your organization, implement effective internal controls, improve the efficiency of your staff, and provide better quality of service to your patients?
- By Wayne van Halem
- May 01, 2012
- By David Kopf
- Feb 01, 2012