DME MACs will change appeals of recurring claims for capped rental items and certain inexpensive and routinely-purchased items.
- By David Kopf
- Apr 27, 2017
Tool helps industry collect audit data in order to help make its case for reforming CMS’s audit program; now easier for Brightree users.
- By David Kopf
- Apr 06, 2017
Business Solutions
As the new RAC comes online, and as the 2017 HHS OIG Workplan is in effect, what can respiratory providers expect in terms of audits, and how should they respond?
- By David Kopf
- Apr 01, 2017
Provider Strategy
New changes to the RAC program will start this month. What does that mean for providers?
- By Wayne van Halem
- Mar 01, 2017
HME Audit Key program urges providers to submit their audit data for Q4 2016; program helps industry better understand audits and advocate reforms.
- By David Kopf
- Jan 12, 2017
DME Pharmacy
Pharmacies selling Medicare reimbursable DME items will eventually be audited. We examine how to protect your claims and how documentation helps minimize your risk of having a claim recouped.
- By Joseph Duffy
- Dec 01, 2016
The plan includes 10 DMEPOS-related investigations, including reports on nebulizers, power wheelchairs, and PAP therapy devices.
- By David Kopf
- Nov 17, 2016
Providers urged to add their audit data to help demonstrate audit program’s burdensome nature.
- By David Kopf
- Oct 06, 2016
Problem Solvers
As new RAC auditors are coming on board, the instances of RAC audits will increase. Providers must have their ducks in a row.
- By David Kopf
- Oct 01, 2016
Business Solutions
Each fall we turn to the members of HMEB's editorial advisory board to gain their insights into the trends, obstacles, challenges and opportunities that providers should consider as they shape their business strategies for the next several months. This year, many of the board members are telling us that the future will likely be what providers make of it.
- By David Kopf
- Oct 01, 2016
Latest HME Audit Key report shows increase audit activity; AAHomecare urges providers to share their data.
- By David Kopf
- Sep 22, 2016
Providers urged to participate in the DME Cost Study and 2Q Audit Key survey to bolster industry’s case for bidding, audit reforms.
- By David Kopf
- Aug 04, 2016
Webinar from senior Van Halem Group expert Kelly Grahovac to identify new audit trends, and explain how providers should prepare.
- By David Kopf
- Apr 28, 2016
First round of data from Fourth Quarter of 2015 yield a variety of results that take first step in documenting impact of audits on HME providers, patients.
- By David Kopf
- Apr 14, 2016
Two accreditation experts discuss the relationship between accreditation and audits.
Observation Deck
Providers will interact with a variety of Medicare audit contractors in 2016.
- By Wayne van Halem
- Apr 01, 2016
Business Solutions
Audits continue to play an unsavory role in the day-today lives of HME providers, and that role is one that is constantly shifting as HHS and its contractors emphasize different aspects of their program integrity efforts. We look at coming and developing trends in audits, and ask the experts how providers should plan and prepare.
- By David Kopf
- Apr 01, 2016
Providers can submit their information into the special audit tracking program starting on April 15.
- By David Kopf
- Mar 31, 2016
Editor's Note
The President's proposed 2017 budget doubles down on the wrong ideas.
- By David Kopf
- Mar 01, 2016
National HME association will outline its key advocacy objectives for the year at Medtrade Spring’s Washington Update.
- By David Kopf
- Feb 18, 2016