Funding


Senate Hearing Highlights Audit Debacle

Senate Finance Committee explores problem of audit backlog, reviews possible methods to reduce problem.

AAHomecare Gears up for Washington Conference

Slated for May 20-21, the annual meeting and legislative push will cover key industry issues.

GAO Dismisses Protest over RAC Contract

CMS will likely move forward with assigning contract to Connolly LLC; reasons for dismissals are unclear.

NCAMES to Visit Sen. Burr's Staff


Meeting will focus on the impact nationwide expansion of competitive bidding in 2016 would have on providers, patients.

Industry Scores an Audit Win

Association worked with CMS to change the automatic RAC audits on DME claims related to Part A SNF, hospital stays.

Medicare Audit Update

Business Solutions

Treading Carefully

Medicare audits represent a shifting landscape in which audit contractors change their targets and priorities. We look at the latest changes and how providers should adjust, as well as the industry’s efforts to reform the currently out-of-control program.

Private Payor Tips

Business Solutions

Private Payor Pro-Tips

Two industry experts sit down with HMEB to discuss the opportunities in the private payor arena and how providers can take advantage of them.

AAHomecare Sets Aggressive Legislative Agenda

Efforts include pushing binding bids over the top, advancing MPP, audit reform, separate CRT benefit, prior authorization, state licensure effort.

OMHA Unveils Audit Appeal Status Site

Still reeling from delays, Medicare appeals office launches website that lets providers check the status of their ALJ appeals.

Auditing the Audits

HME Audit key looks to show impact of Medicare audits on providers



Medicare audits

Business Solutions

Scaling CMS's Audit Mountain

The steep challenges providers face when it comes to Medicare claims audits have only grown taller. HMEB talks to experts who offer smart documentation polices that can help them scale this difficult summit.

Bidding Could Save N.Y. Medicaid Millions

HHS OIG report recommends Empire State's Medicaid agency implement competitive bidding across 54 DME items; estimates state could have saved $8.9 million during 2011 and 2012 if it had.

CU Enhances A/R Allegiance Integration

TIMS HME software better leverages COLLECTPlus collection service to automate billing, collections.

ICD-10

Products & Technology

Countdown to ICD-10: Are you Ready?

CMS has set Oct. 1, 2015 as the compliance date for all Medicare stakeholders to comply with the latest version of the World Health Organization’s classification system for diseases and related health problems. Are providers ready? From the front end to the back end of the business, we look at what are the key ways providers need to ensure they will be entirely prepared for implementation.

Mediware, A/R Allegiance Enter Agreement

Mediware users will have access to A/R Allegiance’s COLLECTPlus a billing service product.

Problem Solvers

Face-to-face: Are You Ready?

Face-to-face remains an unknown. No one knows when — let alone if — enforcement will ultimately happen, but the rule has past its implementation date. How should providers prepare?

Provider Strategy

Addressing the 'New Normal'

If audits are now "just a part of doing business," then providers need to consider outsourcing their audit and appeal workload. How do they consider the options available to them?

HME Business Big Ten

2015 Preview

Big Ten

As HME businesses continue to drive new revenue in 2015, the New Year also brings some serious challenges. We explore the solutions and opportunities in this year's list.

Industry Legislation Poised to Lapse

As 113th Congress draws to a close, industry advocates set strategy for early 2015.

Medicare Changes RAD Guidelines for COPD

New policy changes COPD qualification to ease COPD patients’ access to noninvasive bilevel device.

HME Business Podcast