Funding


CMS Relaxes Requirements on Sleep Accessories

Proof of medical necessity no longer required on all instances of replacement of CPAP or RAD accessories.

AAHomecare Continues Call for Provider Data

Providers urged to participate in the DME Cost Study and 2Q Audit Key survey to bolster industry’s case for bidding, audit reforms.

Observation Deck

Optimizing the Handling of Faxes

Still an everyday reality of healthcare, facsmiles can be mishandled by even the most efficient provider. How can efaxing help fix the problem?

U.S. Health Spending Grew 5.5% in 2015

CMS releases 2015 to 2025 projections of national health expenditures; 2016 spending projected to grow by 4.8 percent.

DME billing

Solving the DME Billing Puzzle

Billing Medicare for DME claims can be complex, especially for pharmacies that might be new to the process. How can special software solutions help?

A DME Billing Q&A with Newhard Pharmacy

This family pharmacy has offered a full line of DME for longer than 40 years — and sharpened its billing in the process.

AAHomecare Names Senior Director of Payor Relations

Twenty-year industry veteran Laura Williard will association members tackle funding challenges.

DME MACs Revise Ventilator Coding, Coverage Requirements

HME industry advocacy efforts help see removal of the imminent death criteria from the Frequent and Substantial Servicing category.

Providers Need to Learn About Key Audit Changes

Webinar from senior Van Halem Group expert Kelly Grahovac to identify new audit trends, and explain how providers should prepare.

New Senate Bill Boosts Disabled Vets Financial Stability

Sens. Thune, Schatz launch bill that would provide disabled veterans with a permanent COLA adjustment.



CMS Slates Next DME Open Door Forum

May 4 conference call will address various agenda items, including implementation of prior authorization.

Audit Key: MAC Prepayment Audits Averaged 12% for New Patients

First round of data from Fourth Quarter of 2015 yield a variety of results that take first step in documenting impact of audits on HME providers, patients.

Respiratory Groups Push for Ventilator Coverage Changes

Leading clinician groups submit reconsideration of current Medicare NCD for home ventilators, including bi-level devices, to CMS.

Accreditation and Audits

Two accreditation experts discuss the relationship between accreditation and audits.

Observation Deck

A Big Year for Audit Contractors

Providers will interact with a variety of Medicare audit contractors in 2016.

Audits

Business Solutions

Keeping Watch on Audits

Audits continue to play an unsavory role in the day-today lives of HME providers, and that role is one that is constantly shifting as HHS and its contractors emphasize different aspects of their program integrity efforts. We look at coming and developing trends in audits, and ask the experts how providers should plan and prepare.

Audit Key’s Date for Entering First Quarter Data Fast Approaching

Providers can submit their information into the special audit tracking program starting on April 15.

Round Two Re-Compete: Reimbursement Continues to Slide

Initial analysis from AAHomecare shows latest SPAs show significant cuts sprinkled with mixed gains.

CMS Unveils Latest Round Two SPAs, Contract Offers

AAHomecare currently analyzing reimbursement cuts, but initial industry reaction is that the latest re-compete hits providers hard.

Editor's Note

More of a Bad Thing

The President's proposed 2017 budget doubles down on the wrong ideas.

HME Business Podcast