Funding


HMEB Podcast

Diving Into COVID-19 Regulatory Changes

In addition to the $30 billion COVID-19 relief fund, HME providers have seen a cascade of Federal and state regulatory changes, as well as new private payer funding guidelines. AAHomecare regulatory and payer relations experts Kim Brummett and Laura Williard take a deep dive into all of them.

Accessing the CARES Act Relief Fund

There are several items providers must understand when seeking help from the $30 billion relief fund serving providers during the COVID-19 health emergency.

CARES Act Attestation Portal Now Online

Providers receiving a share of the $30 billion COVID-19 relief fund must use the portal to declare they comply with the program’s terms and conditions within 30 days of receiving the relief.

Genetic Testing and Kickbacks: Lessons for DME Suppliers

A shift in scams run by the types of bad actors involved in 2019’s $1.2 billion orthopedic brace fraud ring has new lessons HME providers should take a moment to understand.

National Mail-Order: Diabetes Benefit Use Fell, Retail Sales Grew

A new Medicare Payment Advisory Commission study of CMS’s national mail-order program for diabetic supplies showed a drop in benefit use and an increase in retail sales between 2010 and 2017, but did not see an increase in adverse health outcomes.

CMS Removes Non-Invasive Ventilators From Round 2021

Attributing the decision to COVID-19 as well as other factors, NIVs will not be part of Round 2021, and any DMEPOS supplier can provide the devices, as well as any other ventilator types covered by Medicare.

Three Major Private Payers Issue COVID-19 Policy Changes

UnitedHealthCare, Humana and Anthem issue HME-related guidance in response the Coronavirus pandemic. AAHomecare reports it is working with additional payers.

AAHomecare to Providers: Use Sound Judgement

Industry association reminds providers that CMS’s relaxed coverage requirements are to help fight COVID-19 and to not only judiciously apply the new guidelines but help police any abuse.

CMS Expands Use of Multi-Function Ventilators

New MLN Matters article stipulates that beneficiaries must now only meet typical coverage for a ventilator.

CMS IFR Streamlines DMEPOS Regulations

In response to COVID-19, CMS’s new Interim Final Rule incorporates several relief provisions that industry advocates requested to help providers better care for patients during the pandemic, but does not include a Round 2021 delay.



Stimulus Package Signed Into Law

The House passed the stimulus package, which includes various HME provisions including the extension of the 50/50 blended rate for HME in rural and non-contiguous, non-bid areas, and Pres. Trump signed the legislation into law.

Senate Upvotes Stimulus Package — With HME Provisions

Bill includes an extension of the 50/50 blended rate for HME in rural and non-contiguous, non-bid areas, and temporarily eliminates the 2 percent Medicare sequester reduction, and eliminates some telehealth requirements.

Respiratory HMEs and COVID-19

President of national HME provider AdaptHealth joins the HME Business Podcast to discuss what kinds of changes his business is making to continue caring for oxygen patients during COVID-19, as well as the need for providers to convince Congress and CMS to protect patient access to oxygen equipment during COVID-19.

HME Stakeholders Back Letter to Commercial Payers Concerning COVID-19

At least 150 providers sign letter that outlines 18 policy recommendations to help HME suppliers better serve patients and ease burdens on hospitals during the COVD-19 pandemic.

David Kopf

Editor's Note

Coping With COVID-19

As the country stays at home and engages in social distancing, the HME industry starts shaping its response to a pandemic that threatens many vulnerable patient groups.

COVID-19 Response: AAHomecare Asks CMS to Change Key Policies

In order to help HME providers better serve patients during pandemic, industry association asks agency to change coverage and documentation requirements. At the top of the list: a requirement waiver for respiratory equipment and a one year competitive bidding delay.

VGM Pushes for Better Provider Access to PPEs

As state governments call on Trump Administration to release Federal supplies of PPEs and other medical resources, VGM calls on HME stakeholders to push for priority access in order to help contain COVID-19.

March 20 Webinar Focuses on HME During COVID-19

A joint webinar from AAHomecare, VGM and Team@Work will cover how providers can approach various aspects of their businesses during COVID-19.

HME Starts to Feel the Impact of COVID-19

As the world responds to the pandemic, HME organizations begin postponing events, AAHomecare seeks further guidance from CMS, and providers consider how to help protect vulnerable patients.

Medicare Contractors Exhibiting at Medtrade Spring

Attendees as Medtrade Spring will be able to meet with representatives of CBIC, CEDI, the DME MACs, NSC, PDAC and QIC on the expo floor, as well as take in a CBIC presentation on the Round 2021 timeline.

HME Business Podcast