Funding


OMHA Unveils Audit Appeal Status Site

Still reeling from delays, Medicare appeals office launches website that lets providers check the status of their ALJ appeals.

Medicare audits

Business Solutions

Scaling CMS's Audit Mountain

The steep challenges providers face when it comes to Medicare claims audits have only grown taller. HMEB talks to experts who offer smart documentation polices that can help them scale this difficult summit.

Auditing the Audits

HME Audit key looks to show impact of Medicare audits on providers

Bidding Could Save N.Y. Medicaid Millions

HHS OIG report recommends Empire State's Medicaid agency implement competitive bidding across 54 DME items; estimates state could have saved $8.9 million during 2011 and 2012 if it had.

CU Enhances A/R Allegiance Integration

TIMS HME software better leverages COLLECTPlus collection service to automate billing, collections.

ICD-10

Products & Technology

Countdown to ICD-10: Are you Ready?

CMS has set Oct. 1, 2015 as the compliance date for all Medicare stakeholders to comply with the latest version of the World Health Organization’s classification system for diseases and related health problems. Are providers ready? From the front end to the back end of the business, we look at what are the key ways providers need to ensure they will be entirely prepared for implementation.

Mediware, A/R Allegiance Enter Agreement

Mediware users will have access to A/R Allegiance’s COLLECTPlus a billing service product.

Problem Solvers

Face-to-face: Are You Ready?

Face-to-face remains an unknown. No one knows when — let alone if — enforcement will ultimately happen, but the rule has past its implementation date. How should providers prepare?

Provider Strategy

Addressing the 'New Normal'

If audits are now "just a part of doing business," then providers need to consider outsourcing their audit and appeal workload. How do they consider the options available to them?

HME Business Big Ten

2015 Preview

Big Ten

As HME businesses continue to drive new revenue in 2015, the New Year also brings some serious challenges. We explore the solutions and opportunities in this year's list.



Industry Legislation Poised to Lapse

As 113th Congress draws to a close, industry advocates set strategy for early 2015.

Medicare Changes RAD Guidelines for COPD

New policy changes COPD qualification to ease COPD patients’ access to noninvasive bilevel device.

U.S. Health Spending Growth Continue to Slow

Americans spent 3.6 percent more on health in 2013, reaching $2.9 trillion.

Van Halem Group Adds More Medicare Know-How

Audit consulting firm adds six staffers; leadership boasts more than 130 years’ Medicare experience.

Industry Legislation Continues Pushing Forward

Binding Bids Bill now sitting at 64 co-sponsors, AIR Act at 45 backers.

AIR Act Regains Momentum

Bill to reform CMS’s out-of-control audit program adds more congressional co-sponsors.

MED Group, OmniSYS Strike a Deal

OmniSYS will offer MED Group members revenue cycle management and compliance services.

CMS Expands for PMD Prior Auth. Demo

Prior authorization project for scooters and most power wheelchairs expanded to a total of 19 states.

AAHomecare Advances Agenda for Battling Audit Backlog

Video: Association's Pres. Ryan spoke at OMHA Appellant Forum last week; slated to meet with Chief ALJ Griswold next week.

Rep. Price Meets with Provider, VGM

HME owner, VGM’s Gallagher ask longtime industry ally to back audit reform, binding bids bill.

HME Business Podcast