Rule clarifies when providers must report and return self‑identified overpayments.
- By David Kopf
- Feb 11, 2016
Transition slated for June 27 will see same contractor handling claims for Jurisdictions B and C.
- By David Kopf
- Feb 04, 2016
Problem Solvers
The nature of standard power mobility funding has added to the complexity of how providers ensure they select the right scooter for each patient.
- By David Kopf
- Feb 01, 2016
Insurance services provider and industry association partner to give AAHomcare members special rates on surety bonds and liability insurance.
- By David Kopf
- Jan 21, 2016
Annual industry event will kick off with in-depth presentations covering DME certification, billing and A/R, sales, and a compression fitter’s course.
- By David Kopf
- Jan 21, 2016
AAHomecare: While Medicare spending has skyrocketed since 2000, HME spending growth has remained flat.
- By David Kopf
- Jan 21, 2016
Providers urged to register for program that is collecting the hard data that will help make a strong case for reforming CMS’s audit program.
- By David Kopf
- Jan 15, 2016
Final rule would establish a prior auth. for certain DME items CMS considers frequently subject to unnecessary utilization.
- By David Kopf
- Jan 07, 2016
U.S. market leads the trend, with growth projected to hit $25.4 billion by 2020, according to study.
- By David Kopf
- Jan 07, 2016
One of the best strategies against an audit and possible appeal is prevention. Here are some key steps.
HME Business 2016 Annual Industry Forecast
Each year HME Business profiles 10 upcoming trends that will help define the industry over the next 12 months. To be certain, competitive bidding will be one of those factors. Others challenges include audits and protecting complex rehab. But 2016 also offers opportunities, as well, such as retail sales and revenue diversification.
- By David Kopf
- Jan 01, 2016
Business Solutions
Medicare claims audits do not stop at claims being recouped. If anything the process just begins. As providers have realized early on in the process, many audits can and should be appealed. We talked to various experts to outline the appeals process and understand how providers can improve their chances through the various steps.
- By Joseph Duffy
- Jan 01, 2016
Providers encouraged to register for program that will help accumulate data that industry will use to reform CMS’s audit program.
- By David Kopf
- Dec 17, 2015
Available at three different times and as an archive, webcast provides strategic information on CMS's 2016 fee schedule reductions.
- By David Kopf
- Dec 09, 2015
Schedule outlines the DME reimbursement that will apply after the Jan. 1 bid expansion.
- By David Kopf
- Dec 09, 2015
Consumer out-of-pocket health spending ticked up 1.3% for the year, according to annual national health expenditure report.
- By David Kopf
- Dec 03, 2015
CMS identified errors in amounts for some items and will release revised fee schedule within the next week.
- By David Kopf
- Dec 03, 2015
Editor's Note
Quality was not 'job one' when CMS designed its audit program — which need serious and immediate retooling.
- By David Kopf
- Dec 01, 2015
Observation Deck
Retail sales are critical to expanding HME provider revenues in the face of Medicare reimbursement cuts, and Caretailing makes a solid patient connection.
- By Jim Greatorex
- Nov 01, 2015
CMS is returning paid ERAs to TeamDME! users shortly after Oct. 1 implementation of new coding system.
- By David Kopf
- Oct 15, 2015