The latest HRSA guidance marks the fourth revision to lost revenue calculations for PRF reporting. How has it evolved and what do providers need to know?
- By Andrea Stark
- Feb 03, 2021
Editor's Note
HME providers have demonstrated their crucial role in American healthcare during COVID-19.
- By David Kopf
- Feb 01, 2021
Procedure is aimed at ensuring DMEPOS supplier locations are open and available for in-person inspections during COVID-19 Public Health Emergency.
While providers can register on the PRF portal, reporting requirements remain unavailable. Also providers should have key information on-hand, otherwise the registration process could time out on them.
- By Andrea Stark
- Jan 21, 2021
The Round 2021 bids show increases for lead items in most areas compared to the 2020 fee schedule, while bids for non-lead items show mixed results. CMS opted not to award contracts for 13 categories in late October.
Effort aims to track how suppliers’ costs have changed during events such as COVID-19, which is important given that DMEPOS rates are essentially frozen at 2016 levels. Deadline is Feb. 5.
Under the new “block grant” waiver, the Tennessee Medicaid program will be able to service patients with less federal oversight. CMS approved the waiver for 10 years.
A follow-up to its 2018 effort, the survey helps tabulate the cost of provisioning HME products and services. This new effort aims at understanding how COVID-19 has changed that cost structure.
The extension pushes the previous expiration date from Jan. 8 to Jan. 31 and United noted that it includes oxygen can be delivered without prior authorization.
Problem Solver
A deep dive into why HME providers might want to consider outsourcing their billing and how they can implement it.
- By David Kopf
- Dec 19, 2019
Reimbursement for various DMEPOS items and several categories will see a 1.6 percent to 2.4 percent gain.
- By David Kopf
- Dec 19, 2019
If a provider receives a PBE letter that identifies any deficiencies, it must respond to the PBE in Connexion by Dec. 17.
- By David Kopf
- Dec 05, 2019
Provider Strategy
When it comes to MAPs and MMCPs, what's allowed and what's not allowed for subcontracting arrangements?
- By Jeffrey S. Baird
- Dec 01, 2019
Problem Solvers
Referral sources' face-to-face documentation concerns have grown as 'acute' as HME providers. Why is this change happening and what does it mean for HME?
- By David Kopf
- Dec 01, 2019
Top-line audit concern includes HHS OIG adding PAP supplies to Its workplan. Wayne van Halem will discuss several new, worrying audit developments and how to prepare for them in Dec. 11 webinar.
- By David Kopf
- Nov 26, 2019
Podcast
An HHS proposed rule might make exceptions to the physician self-referral regulation. What's the industry's strategy?
- By David Kopf
- Nov 14, 2019
The rule, which will take effect next year, also streamlines the requirements for ordering DMEPOS products.
- By Haley Samsel
- Nov 07, 2019
Podcast
The involvement of third-party administrators in Medicaid MCOs is starting to look like it will go from bad to worse for HME providers. What do providers need to know and what should they do?
- By David Kopf
- Oct 30, 2019
CBIC updates bidders on when Notice of Preliminary Bid Evaluation, Notice of Covered Document Review Findings and Required Action and Notice to Substantiate Your Bid(s) will be available, and what their deadlines are.
- By David Kopf
- Oct 22, 2019
Podcast
Sleep equipment providers risk facing costly six-year lookback audits in this new addition to OIG's workplan. How should they prepare?
- By David Kopf
- Oct 17, 2019