Funding


CMS Unveils Round 2021 Timeline

Registration starts June 10 and the bid window opens on July 16 for the next iteration of the competitive bidding program, which includes significant changes such as lead item pricing and bid surety bonds.

Operation Brace Yourself Notches First Sentencing

Georgia DME CEO sentenced to more than three years plus fines and restitution for involvement in history-making Medicare fraud.

CMS to Host Round 2021 Webinars

CMS series of three webinars will cover various topics related to Round 2021 during May.

CMS Solidifies Dates for Expanded Prior Authorization

Prior authorization for most new codes added to the program goes into effect on July 21, with PA for the remainder to going into effect on Oct. 21.

Round 2021: Do You Understand Lead Item Pricing?

CBIC, AAHomecare, industry experts all emphasize the need for providers to start using lead item pricing calculators and educate themselves on the pricing method well before Round 2021 bidding begins.

Oklahoma Poised to Exempt HME from Sales Tax

Ongoing advocacy work by OMEPA results in both chambers approving H.B. 1262, which would free HME items from the Sooner State’s sizable sales tax; Governor poised to approve.

Industry Reacts to Massive Medicare Fraud Bust

In one of the biggest healthcare frauds in U.S. history, the Feds round up DMEs, telemarketers and medical professionals in a $1.2 billion orthopedic brace scam; various industry insiders share their perspective.

Industry Advocates Launch Round 2021 Education Site

The new site, dmecbpeducation.com, offers a variety of resources to help providers prepare for Round 2021, including bid calculators based on new lead item pricing system.

Observation Deck

Understanding Managed Care

What are Managed Care Plans and how can HME providers properly prepare to negotiate agreements with those plans?

CBIC Alerts Commonly Owned, Commonly Controlled Providers

Bid contractor urges providers to review their enrollment records now, and ensure they understand the commonly owned and commonly controlled distinctions.



VGM Insurance Offers Bid Bonds

VGM Insurance Services partners with Lexon Insurance Company to help HME providers meet new surety bond requirements for Round 2021.

AAHomecare Underscores Ventilator Concerns

Association meets with White House Domestic Policy Council on CMS’s addition of non-invasive ventilators to Round 2021.

CBIC: Get Licensed, Get Accredited

Competitive bidding contractor begins Round 2021 education efforts by reminding providers to ensure their locations are accredited and have the right state licensing.

Negotiating Managed Care Contracts; Part 4

In the final installment of a four-part series, HME industry legal expert Jeffrey S. Baird covers working towards state legislative remedies and the steps that providers can take to persuade a Plan.

HMEB Podcast Episode 004 Now Online

Latest installment in HMEB’s quickly growing podcast survey examines breast cancer legislation and six-year lookback audits.

Negotiating Managed Care Contracts; Part 3

In the third of a four-part series, HME industry legal expert Jeffrey S. Baird discusses the remaining key contract provisions and how HME providers can properly gain access to another provider's third-party payer contract.

Negotiating Managed Care Contracts; Part 2

In the second of a four-part series, HME industry legal expert Jeffrey S. Baird continues his examination of the key contract provisions related to Medicaid Managed Care Plans.

Third Episode of HMEB Podcast Now available

The latest edition of the recently launched industry news service meets with Brown & Fortunato's Jeffery Baird to examine managed care and Essentially Women's Nikki Jensen to discuss health opportunities.

Custom Breast Prostheses Bills Introduced in House and Senate

Legislation re-introduced in the House and debuted in the Senate would require Medicare to fund custom breast prostheses, the only part of the body Medicare doesn’t cover. 

Negotiating Managed Care Contracts; Part 1

In the first of a four-part series, HME industry legal expert Jeffrey S. Baird explains Medicaid Managed Care Plans and how providers can properly prepare to negotiate agreements with those plans.

HME Business Podcast