HME claims must be prescribed by health professionals in the system.
- By David Kopf
- Mar 07, 2013
While May 1 date appears to not be in effect, formal announcement could be coming.
- By David Kopf
- Feb 28, 2013
After underpayments and costs, only $488 million goes to trust fund; DME overpayments account for less than 5% of overpayments.
- By David Kopf
- Feb 07, 2013
Observation Deck
In many cases, especially for power mobility devices (PMDs), a provider may not know whether a file meets all of the requirements until an audit occurs, due in part to the subjectivity of medical necessity documentation review.
- By Paul Komishock
- Feb 01, 2013
DME rates slashed by an average of 45 percent, diabetic supply rates drop an average of 72 percent.
- By David Kopf
- Jan 30, 2013
New accountable care organizations represent opportunities for providers.
- By David Kopf
- Jan 24, 2013
Accountability office meets with association to ask various questions regarding post-payment audit cocnerns.
- By David Kopf
- Jan 17, 2013
2013: The Year Ahead
It's that's time of the year again: The HMEB Big Ten. In the sixth annual edition of our list, we look at 10 key trends, challenges and opportunites that will define the next 12 months for HME providers.
- By David Kopf
- Jan 01, 2013
Problem Solvers
Increased funding and more Medicare claims processors could mean more audits for 2013. How should HMEs prepare?
- By Cindy Horbrook
- Jan 01, 2013
Dec. 19 special Open Door Forum to discuss clinical template for power mobility devices.
- By David Kopf
- Dec 13, 2012
Audit consulting firm will help OGPA members in audits, compliance, appeals.
- By David Kopf
- Nov 29, 2012
Providers will be able to electronic respond to auditors’ documentation requests.
- By David Kopf
- Nov 08, 2012
People in HME
Ronda Buhrmester joins HME member service organization.
- By David Kopf
- Nov 08, 2012
Agency to tell contractors to suspend audits for providers affected by Sandy.
- By David Kopf
- Nov 08, 2012
Helps providers work with ACOs, bundled payment participants, hospital readmission reduction programs.
- By David Kopf
- Oct 11, 2012
Industry Roundtable
The coming year promises a rough ride for the industry. Providers face many issues: competitive bidding Round Two; the fight to replace it with the MPP; the continued assault of pre- and post-payment audits; the pending face-to-face rule; and pior authorization for power mobility to name just a few. HMEB’s editorial advisory board discuss these issues and more and share their insights on how providers should approach 2013.
- By David Kopf
- Oct 10, 2012
Audits
Although the denial rate may be improving, oxygen audits continue to challenge and frustrate providers. How can providers become oxygen audit ready?
- By Joseph Duffy
- Oct 01, 2012
New coding policy for manual wheelchairs effective Feb. 28, 2013.
- By Laurie Watanabe
- Sep 20, 2012
Testimony at Small Business Subcommittee sets stage for advancement of MPP bill.
- By David Kopf
- Sep 13, 2012
CMS is hosting first in a series of Open Door Forums concerning the Affordable Care Act.
- By David Kopf
- Sep 13, 2012