Prior authorization for most new codes added to the program goes into effect on July 21, with PA for the remainder to going into effect on Oct. 21.
- By David Kopf
- May 02, 2019
CBIC, AAHomecare, industry experts all emphasize the need for providers to start using lead item pricing calculators and educate themselves on the pricing method well before Round 2021 bidding begins.
- By David Kopf
- Apr 25, 2019
Ongoing advocacy work by OMEPA results in both chambers approving H.B. 1262, which would free HME items from the Sooner State’s sizable sales tax; Governor poised to approve.
- By David Kopf
- Apr 25, 2019
In one of the biggest healthcare frauds in U.S. history, the Feds round up DMEs, telemarketers and medical professionals in a $1.2 billion orthopedic brace scam; various industry insiders share their perspective.
- By David Kopf
- Apr 10, 2019
The new site, dmecbpeducation.com, offers a variety of resources to help providers prepare for Round 2021, including bid calculators based on new lead item pricing system.
- By David Kopf
- Apr 04, 2019
Observation Deck
What are Managed Care Plans and how can HME providers properly prepare to negotiate agreements with those plans?
- By Jeffrey S. Baird
- Apr 01, 2019
Bid contractor urges providers to review their enrollment records now, and ensure they understand the commonly owned and commonly controlled distinctions.
- By David Kopf
- Mar 26, 2019
VGM Insurance Services partners with Lexon Insurance Company to help HME providers meet new surety bond requirements for Round 2021.
- By David Kopf
- Mar 21, 2019
Association meets with White House Domestic Policy Council on CMS’s addition of non-invasive ventilators to Round 2021.
- By David Kopf
- Mar 21, 2019
Competitive bidding contractor begins Round 2021 education efforts by reminding providers to ensure their locations are accredited and have the right state licensing.
- By David Kopf
- Mar 21, 2019
In the final installment of a four-part series, HME industry legal expert Jeffrey S. Baird covers working towards state legislative remedies and the steps that providers can take to persuade a Plan.
- By Jeffrey S. Baird
- Mar 14, 2019
Latest installment in HMEB’s quickly growing podcast survey examines breast cancer legislation and six-year lookback audits.
- By David Kopf
- Mar 14, 2019
In the third of a four-part series, HME industry legal expert Jeffrey S. Baird discusses the remaining key contract provisions and how HME providers can properly gain access to another provider's third-party payer contract.
- By Jeffrey S. Baird
- Mar 07, 2019
In the second of a four-part series, HME industry legal expert Jeffrey S. Baird continues his examination of the key contract provisions related to Medicaid Managed Care Plans.
- By Jeffrey S. Baird
- Mar 01, 2019
The latest edition of the recently launched industry news service meets with Brown & Fortunato's Jeffery Baird to examine managed care and Essentially Women's Nikki Jensen to discuss health opportunities.
- By David Kopf
- Mar 01, 2019
Legislation re-introduced in the House and debuted in the Senate would require Medicare to fund custom breast prostheses, the only part of the body Medicare doesn’t cover.
- By David Kopf
- Mar 01, 2019
In the first of a four-part series, HME industry legal expert Jeffrey S. Baird explains Medicaid Managed Care Plans and how providers can properly prepare to negotiate agreements with those plans.
- By Jeffrey S. Baird
- Feb 21, 2019
What’s Covered app lets beneficiaries can get up-to-date coverage information on items.
- By David Kopf
- Jan 31, 2019
As the new Congress sets its committees of jurisdiction, HME association sets stage for advancing industry’s agenda on Capitol Hill.
- By David Kopf
- Jan 24, 2019
Member service organization summarizes the various changes in DMEPOS reimbursement that will and won’t impact providers this year.
- By David Kopf
- Jan 17, 2019