U.S. market leads the trend, with growth projected to hit $25.4 billion by 2020, according to study.
- By David Kopf
- Jan 07, 2016
One of the best strategies against an audit and possible appeal is prevention. Here are some key steps.
HME Business 2016 Annual Industry Forecast
Each year HME Business profiles 10 upcoming trends that will help define the industry over the next 12 months. To be certain, competitive bidding will be one of those factors. Others challenges include audits and protecting complex rehab. But 2016 also offers opportunities, as well, such as retail sales and revenue diversification.
- By David Kopf
- Jan 01, 2016
Business Solutions
Medicare claims audits do not stop at claims being recouped. If anything the process just begins. As providers have realized early on in the process, many audits can and should be appealed. We talked to various experts to outline the appeals process and understand how providers can improve their chances through the various steps.
- By Joseph Duffy
- Jan 01, 2016
Providers encouraged to register for program that will help accumulate data that industry will use to reform CMS’s audit program.
- By David Kopf
- Dec 17, 2015
Available at three different times and as an archive, webcast provides strategic information on CMS's 2016 fee schedule reductions.
- By David Kopf
- Dec 09, 2015
Schedule outlines the DME reimbursement that will apply after the Jan. 1 bid expansion.
- By David Kopf
- Dec 09, 2015
CMS identified errors in amounts for some items and will release revised fee schedule within the next week.
- By David Kopf
- Dec 03, 2015
Consumer out-of-pocket health spending ticked up 1.3% for the year, according to annual national health expenditure report.
- By David Kopf
- Dec 03, 2015
Editor's Note
Quality was not 'job one' when CMS designed its audit program — which need serious and immediate retooling.
- By David Kopf
- Dec 01, 2015
Observation Deck
Retail sales are critical to expanding HME provider revenues in the face of Medicare reimbursement cuts, and Caretailing makes a solid patient connection.
- By Jim Greatorex
- Nov 01, 2015
CMS is returning paid ERAs to TeamDME! users shortly after Oct. 1 implementation of new coding system.
- By David Kopf
- Oct 15, 2015
Proposed elimination of K0108 and E1399, other changes will not be implemented on Jan. 1, 2016.
- By David Kopf
- Oct 15, 2015
Office’s latest report recommends either CMS apply Medicare bid pricing to Medicaid programs, and Medicaids implement their own bid programs.
- By David Kopf
- Oct 15, 2015
With high denial rates in Jurisdiction A, it is likely the audits will expand.
- By David Kopf
- Oct 01, 2015
From this day forward, new Medicare claims must adhere to the new system; results of switch won’t likely be known until a full billing cycle.
- By David Kopf
- Oct 01, 2015
Business Solutions
Providers face many challenges, but it’s time to turn the tables. Various experts assess the market and help determine how providers can set a smart course for success.
- By David Kopf
- Oct 01, 2015
Provider Strategy
CMS offers a key methodology to help providers follow-up on documentation requests for audits, PMD prior authorization and appeals.
- By Ellen Sluder
- Sep 01, 2015
AAHomcare analysis shows a whopping 2122% increase in DMEPOS-related audit appeals over past 8 years.
- By David Kopf
- Aug 27, 2015
Notably, the length of contracts for 2017 edition of Round One is two years, rather than three.
- By David Kopf
- Aug 20, 2015