Funding


HHS Extends COVID-19 PHE

The public health emergency, as well as the regulatory relaxations and reimbursement guidelines associated with it, will continue for another 90 days.

Podcast

Whither Competitive Bidding Round 2024?

Kim Brummett of AAHomecare breaks down how the next round of competitive bidding might play out, what CMS might do, and where the program might be headed in the future.

Jeffrey S. Baird

Provider Strategy

DME Compliance Guide in a Nutshell

Here's a rundown of the compliance requirements providers must remember to keep at the top of their minds.

CMS Approves ARPA Relief for Ohio

The Ohio Department of Medicaid can now distribute Federal relief for Home and Community-Based Service providers, including DME suppliers.

PAMS Gears up for 2022 Annual Convention

The Pennsylvania provider association’s April 20-22 in Harrisburg features a variety of educational sessions and a golf tournament.

Clayback to Step Down from NCART Executive Director Role

After 13 years of reimbursement and policy work, the longtime CRT advocate will vacate the association’s leadership position in September.

Providers Urged to Make ‘Direct Contact’ for H.R. 6641

AAHomecare calls on HME stakeholders to meet with lawmakers and staff in person, over the phone, or via video on behalf of Medicare reimbursement legislation.

Podcast

The Industry’s Fight to Fix Reimbursement

AAHomecare’s Jay Witter details the legislative efforts to secure 90/10 reimbursement for Round 2021’s 13 uncontracted categories and extend the 75/25 blended rate for non-rural, non-CBA suppliers.

AAHomecare Meets with Lawmakers, Staffers on Reimbursement

Association builds support for H.R. 6641 and works with Senate contacts on approaches to preserve the current 75/25 blended rate for non-rural, non-CBA suppliers beyond the end of the Public Health Emergency.

New York Providers Urged to Back Rate Floor Legislation

NEMEP calls on HME stakeholders to ask their Senate and Assembly members to sign on to A.5368 and S.5118 to require MCOs to reimburse DME claims at state rates.



$67 Million Fraud Operation Involved DME Claims

Ten Florida residents were indicted for various crimes involving fraudulent claims to Medicare for medically unnecessary durable medical equipment and genetic tests.

AAHomecare Seeks Payer Relations Manager

The position will work closely with the association’s senior payer relations team to support the development of state-level payer relations strategy, as well as advocacy efforts.

Survey: 84% of Patients Don’t Support ‘Patient Steering’

The majority of those surveyed also said insurers should not require patients to use pharmacies owned by the insurer.

Podcast

CMS’s Vaccine Mandate: More than Meets the Eye

How well do you understand CMS’s Covid-19 vaccine mandate when it comes to DME suppliers and DME pharmacies? Are you sure?

AAHomecare: H.R. 6641 Support is a ‘Top Priority’

The House reconvening next week creates a window of opportunity to get co-sponsors for the 90/10 reimbursement bill.

Florida Legislation Would Set MCO Rate Floor

Legislation in both chambers of sunshine state’s legislature would set minimum MCO reimbursement at Florida’s current Medicaid DME fee schedule.

VGM Surveying Providers on Delivery Costs

Providers have until Feb. 28 to reply to a short survey updating its 2021 survey on providing various types of HME before and during the public health emergency.

CMS Instructs DME MACs on Oxygen NCD Changes

The two separate, but medically related NCDs should expand access to home oxygen services.

RAC Audits Will Now Account for Product Volume

Requests for additional documentation will be based on the number of claims a provider has in a category.

Commerce Dept. Taps Graham-Field CEO

The Federal agency has appointed Ken Spett to the Georgia District Export Council for international trade expertise.

HME Business Podcast