Funding


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.

Push to Advance H.R. 6641 Begins

AAHomecare offers resources to help providers lobby lawmakers to co-sponsor new legislation that aims to improve DMEPOS reimbursement.

Lawmakers Intro Bill to Boost DME Reimbursement

New House legislation would help increase reimbursement by 10 to 15 percent for 13 categories that CMS pulled from Round 2021.

News Feature

Playing the Waiting Game

The HME industry waited a long time for CMS to unveil its final payment rule for DMEPOS suppliers. Now that CMS has released the rule, where does the industry stand, and how does it move forward to secure better reimbursement?

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Business Solutions

15th Annual Big 10

Once again, we proofile 10 trends that will shape the HME industry this year. The far-reaching impact of Covid-19 is undeniable, but it’s not the only factor that will define 2022.

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Business Solutions

Healthcare's Last Mile

HME filled critical gaps in care & fortified referral bonds during Covid-19. Now what?

Problem Solvers

Assessing CMS's Audit Ramp-up

Providers will see an increase in claims audits from Medicare and other funding sources in 2022. Audit expert Wayne van Halem offers insights into what they can expect for this year.

Illinois Considering Breast Pump Sales Tax Exemption

Bills have been introduced into the state General Assembly’s Senate and House that would remove sales tax for retail transactions of breast pumps and related supplies starting July 1.

AAHomecare Begins 90/10 Co-Sponsor Push

The association is calling on providers to urge their Representatives to be original co-sponsors for draft legislation that would apply a 90/10 reimbursement rate to items in Round 2021’s 13 un-awarded categories.

Podcast

Prepping for CMS’s Audit Ramp-up

Providers will see an increase in claims audits from Medicare and other funding sources in 2022. Audit expert Wayne van Halem offers insights into what they can expect.

HME Business Podcast

Latest Podcasts