Provider Strategy
Understanding another 'new normal' for HMEs from HHS OIG.
- By Wayne van Halem
- Jun 01, 2019
July 11 conference call will address the prior authorization process for pressure reducing support surfaces.
- By David Kopf
- May 30, 2019
Two webcasts for June will offer a two-part discussion of registering and submitting bids in Round 2021.
- By David Kopf
- May 30, 2019
California respiratory and sleep provider notches its fourth 12-month break from TPE audits.
- By David Kopf
- May 30, 2019
Attendees to June 5 Competitive Bidding Summit to learn more about Round 2021 and how to bid under lead item pricing.
- 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
New legislation would provide permanent rural and non-bid area relief and eliminate the oxygen budget neutrality requirement.
- By David Kopf
- May 16, 2019
A CPAP code was incorrectly added to an earlier policy update; AAHomecare seeking clarification on reprocessing any denied claims.
- By David Kopf
- May 09, 2019
May 15 Open Door Forum will address CMS’s addition of 12 more items to prior authorization, as well as the next round of completive bidding.
- By David Kopf
- May 08, 2019
Georgia DME CEO sentenced to more than three years plus fines and restitution for involvement in history-making Medicare fraud.
- By David Kopf
- May 07, 2019
Registration starts June 10 and the bid window opens on July 16 for the next iteration of the competitive bidding program, which includes significant changes such as lead item pricing and bid surety bonds.
- By David Kopf
- May 07, 2019
CMS series of three webinars will cover various topics related to Round 2021 during May.
- By David Kopf
- May 02, 2019
Prior authorization for most new codes added to the program goes into effect on July 21, with PA for the remainder to going into effect on Oct. 21.
- By David Kopf
- May 02, 2019
CBIC, AAHomecare, industry experts all emphasize the need for providers to start using lead item pricing calculators and educate themselves on the pricing method well before Round 2021 bidding begins.
- By David Kopf
- Apr 25, 2019
Ongoing advocacy work by OMEPA results in both chambers approving H.B. 1262, which would free HME items from the Sooner State’s sizable sales tax; Governor poised to approve.
- By David Kopf
- Apr 25, 2019
In one of the biggest healthcare frauds in U.S. history, the Feds round up DMEs, telemarketers and medical professionals in a $1.2 billion orthopedic brace scam; various industry insiders share their perspective.
- By David Kopf
- Apr 10, 2019
The new site, dmecbpeducation.com, offers a variety of resources to help providers prepare for Round 2021, including bid calculators based on new lead item pricing system.
- By David Kopf
- Apr 04, 2019
Observation Deck
What are Managed Care Plans and how can HME providers properly prepare to negotiate agreements with those plans?
- By Jeffrey S. Baird
- Apr 01, 2019
Bid contractor urges providers to review their enrollment records now, and ensure they understand the commonly owned and commonly controlled distinctions.
- By David Kopf
- Mar 26, 2019
VGM Insurance Services partners with Lexon Insurance Company to help HME providers meet new surety bond requirements for Round 2021.
- By David Kopf
- Mar 21, 2019