Funding


AAHomecare Delays Medicaid Cuts

Association secures push-back of HME cuts contained in the 21st Century Cures Bill; offers prior-authorization as a pay-for.

Rep. Blackburn Introduces Prior Authorization Bill

Tenn. lawmaker’s legislation would require CMS program to establish a program for higher cost DME similar to the power mobility demonstration project.

Washington Legislative Conference Just Around the Corner

Next week’s event gives providers an opportunity to lobby lawmakers and their staffs on behalf of various industry legislative initiatives.

MHPA Taps Moore to Lead Policy Team

HHS appointee will oversee policy, advocacy and research staff for national trade association for Medicaid plans.

Senate Hearing Highlights Audit Debacle

Senate Finance Committee explores problem of audit backlog, reviews possible methods to reduce problem.

Providers Speak out at SBA Hearing

HME providers, O&P practitioners provide testimony on a variety of subjects, including audits and 2016 bid expansion.

AAHomecare Gears up for Washington Conference

Slated for May 20-21, the annual meeting and legislative push will cover key industry issues.

GAO Dismisses Protest over RAC Contract

CMS will likely move forward with assigning contract to Connolly LLC; reasons for dismissals are unclear.



NCAMES to Visit Sen. Burr's Staff


Meeting will focus on the impact nationwide expansion of competitive bidding in 2016 would have on providers, patients.

Industry Scores an Audit Win

Association worked with CMS to change the automatic RAC audits on DME claims related to Part A SNF, hospital stays.

Medicare Audit Update

Business Solutions

Treading Carefully

Medicare audits represent a shifting landscape in which audit contractors change their targets and priorities. We look at the latest changes and how providers should adjust, as well as the industry’s efforts to reform the currently out-of-control program.

Private Payor Tips

Business Solutions

Private Payor Pro-Tips

Two industry experts sit down with HMEB to discuss the opportunities in the private payor arena and how providers can take advantage of them.

AAHomecare Sets Aggressive Legislative Agenda

Efforts include pushing binding bids over the top, advancing MPP, audit reform, separate CRT benefit, prior authorization, state licensure effort.

OMHA Unveils Audit Appeal Status Site

Still reeling from delays, Medicare appeals office launches website that lets providers check the status of their ALJ appeals.

Medicare audits

Business Solutions

Scaling CMS's Audit Mountain

The steep challenges providers face when it comes to Medicare claims audits have only grown taller. HMEB talks to experts who offer smart documentation polices that can help them scale this difficult summit.

esMD

Are you using CMS's esMD to respond to medical documentation requests from review contractors?


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