Funding


Podcast

Are Physician Self-Referral Regulations About to Change?

An HHS proposed rule might make exceptions to the physician self-referral regulation. What's the industry's strategy?

CMS Issues Final Rule Affecting Requirements, Payments for DMEPOS Items

The rule, which will take effect next year, also streamlines the requirements for ordering DMEPOS products.

Podcast

Third Party Administrators’ Impact on Medicaid Managed Care

The involvement of third-party administrators in Medicaid MCOs is starting to look like it will go from bad to worse for HME providers. What do providers need to know and what should they do?

CBIC Announces Key Round 2021 Dates

CBIC updates bidders on when Notice of Preliminary Bid Evaluation, Notice of Covered Document Review Findings and Required Action and Notice to Substantiate Your Bid(s) will be available, and what their deadlines are.

Podcast

HHS OIG Adds PAP Supplies to Its Workplan — Again

Sleep equipment providers risk facing costly six-year lookback audits in this new addition to OIG's workplan. How should they prepare?

graham field

GF Health Earns ISO 13485:2016 and MDSAP Certification in U.S. Locations

The medical device manufacturer says the certification will allow for more growth in the market and improved efficiency.

Indiana Halts Oct. 1 HME Cuts

Hard-fought lobbying effort from Great Lakes Home Medical Services Association and other advocates eventually convinces state Medicaid program to stop implementing of proposed cuts until further review and analysis.

multiple arms wrestling

Business Solutions

Managing Multiple Payer Relations

Our annual roundtable with the HMEB Editorial Advisory draws one almost unanimous conclusion: providers must diversify and learn how to deal with multiple payers and revenue sources.

Billing prescription

Business Solutions

The Rx for Billing Headaches: Outsourcing

Chasing payments is a pain. Billing services can bring relief. What do you need to know to get started with outsourced billing and similar services?

game plan

Business Solutions

A Game Plan for Six-Year Lookbacks

CMS's six-year lookback audits represent a daunting challenge for HME providers, but there are steps they can take to deal with them.



AAHomecare Submits Comments on ESRD/DMEPOS Proposed Rule

Association submits comments on a variety of provisions in the rule and urges providers to submit comments by the Sept. 27 deadline.a

Comments on Proposed ESRD/DMEPOS Rule Due Sept. 27

The proposed rule contains HME-related provisions such as changes to its ‘gap-filling’ method, payment requirements, and change of ownership timeline.

N.C. Delays Transition to Managed Care Due to Budget Standoff

The state says it will move to managed care in one phase in February rather than beginning the process on Nov. 1.

Round 2021 Bid Window Closes Sept. 18

The end of bidding for Round 2021 is fast approaching; industry experts share insights on what providers need to be doing now.

Podcast

Managing the Managed Care Opportunity

Legal expert Jeff Baird discusses managed care on latest HMEB podcast episode; podcast also examines how providers can better manage their equipment ‘fleets.’

Providers Testify at SBA Regulatory Fairness Hearing

Representatives of HME, CRT and women’s health businesses discuss small business impact of policies governing wheelchair accessories, custom breast prostheses, and Medicaid managed care.

DBidS Registration Ends Aug. 16

Other important Round 2021 dates looming include covered document review and bidding window closure.

Bidding Tutorial: How Capacity and Demand Influence Payment Rates

Tutorial includes video, charts, and a detailed explanation on how capacity and demand can impact SPAs.

AAHomecare Offers More Proposed Rule Insights

In addition to last week’s details on CMS’s proposed ESRD/DMEPOS rule, association gives details on proposed adjustments to face-to-face criteria and changes of ownership timeline.

CMS Suggest Gap-Filling Changes in Proposed Rule

Recently unveiled 2020 ESRD/DMEPOS Proposed Rule includes various changes to how reimbursement rates are set.

HME Business Podcast

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