Editor's Note
The time for hesitation is past. Providers must act on behalf of H.R. 5083 and H.R. 4920 if they want to fix audits, competitive bidding.
- By David Kopf
- Oct 01, 2014
Binding bids bill picks up 8 co-sponsors; audit reform bill adds 7 backers.
- By David Kopf
- Sep 11, 2014
Agency created a situation that quickly spiraled out of control; industry pushes AIR Act.
- By David Kopf
- Sep 04, 2014
Legislation would limit documentation look back periods; require timely filing limits; create education program.
- By David Kopf
- Jun 19, 2014
Audit consulting firm will retain staff and offices to serve both VGM members and non-member DME, healthcare companies.
- By David Kopf
- Jun 11, 2014
Audit Key effort will collect data that completely, accurately tracks impact of Medicare audits.
- By David Kopf
- Jun 05, 2014
The 2014 HME Handbook: Documentation
VGM effort to collect inappropriate denials for OMHA meeting pays off for providers.
- By David Kopf
- Apr 24, 2014
While providers fight audits on the legislative front, they need to have a plan for dealing with them.
Business Solutions
CMS's audit onslaught has been a trial and tribulation for the HME industry, but matters took a turn for the terrifying when the agency announced that it would delay assigning Administrative Law Judges to audit appeals by two years. Now the industry has redoubled its efforts to bring an out-of-control situation back under control.
- By David Kopf
- Apr 01, 2014
Association advises Senate Finance Committee, gearing up to launch legislation, other initiatives.
- By David Kopf
- Mar 13, 2014
Latest report details various instances of Medicare fraud, but doesn’t focus on DME as the central cause.
- By David Kopf
- Mar 06, 2014
AAHomecare’s Ryan tells OMHA’s Griswold that ALJ delay has put providers in ‘crisis mode’ and a fix is needed fast.
- By David Kopf
- Feb 13, 2014
VGM members share their thoughts on Appellant Forum proceedings, two-year ALJ delay.
- By David Kopf
- Feb 13, 2014
Observation Deck
OMHA’s decision to delay assigning ALJs to audit appeals for up to more than 24 months does far more damage than holding recouped reimbursement in limbo. Even a cursory investigation of the latest developments make it patently clear that these delays may put more Medicare providers out of business than any other issue facing healthcare companies today.
- By Edward Vishnevetsky
- Feb 13, 2014
Agency trims 0.5% off Medicare overpayments and sets underpayments to 10.125%.
- By David Kopf
- Oct 31, 2013
Sample claims are said to be representative of the most commonly seen mistakes.
- By Laurie Watanabe
- Oct 24, 2013
Business Solutions
HME providers have been on a roller coaster over the past few years. What's in store for them from a regulatory and business standpoint in 2014, and how should they shape their business strategies to survive and succeed?
- By David Kopf
- Oct 01, 2013
Provider Strategy
With audits and decreasing reimbursement levels diverting your attention, it can seem more and more difficult to keep the focus on providing the best in patient care, but there are things you can do and products you can add to your “fleet” that will improve your business while enhancing patient care.
- By Brian LaDuke
- Oct 01, 2013
Kelly Grahovac joins audit, compliance consulting firm after a decade with Medicare contractor.
- By David Kopf
- Jun 06, 2013