VGM effort to collect inappropriate denials for OMHA meeting pays off for providers.
- By David Kopf
- Apr 24, 2014
AAHomecare infographic illustrates the high costs associated with Medicare DME transactions.
- 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
Observation Deck
Providers’ profit margins determine how extensively they can provide comprehensive services, and in no division is this dynamic more important than in the DME repair arena. That's why the scenario of DMEMAC Medical Directors setting allowed labor limits on repair services must change.
- By Georgie Blackburn
- Mar 20, 2014
Participants for each DME MAC will help prepare for Oct. 1 transition.
- By David Kopf
- Mar 20, 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 letters seek clarification from CMS’s General Counsel on various points.
Round One Re-compete and Round Two reimbursement add layer of complexity, confusion to implementation.
- By David Kopf
- Feb 20, 2014
AAHomecare fights suggested legislation that would see competitive bidding rates applied to Medicaid in order to cover ‘doc fix’ costs.
- By David Kopf
- Feb 20, 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
Number of beneficiaries using sleep devices up 13%, allowed charges up 23% from 2012 to 2013.
- By David Kopf
- Feb 06, 2014
Industry Newsmaker
A/R Allegiance’s Keith Lilek has spent nearly his entire professional life engaged in collections for the healthcare market. He's learned from the best and has applied key practices to the HME industry. Lilek shares some of his insights in the run-up to a special Feb. 12 webinar on collecting patient co-pays.
- By David Kopf
- Feb 04, 2014
Feb. 12 discussion will address OMHA’s two-year delay on assigning judges to audit appeals.
- By David Kopf
- Jan 31, 2014
Savings driven by Medicare and Pioneer ACOs top $380M in first 12 months.
- By David Kopf
- Jan 30, 2014
CMS says it plans to pay for repairs performed on or after Oct. 24 2013.
- By Laurie Watanabe
- Jan 23, 2014
Fallout from decision to not assign a judge to new audit appeals for two years felt across healthcare.
- By David Kopf
- Jan 23, 2014