How to Improve your Funding/Claims Performance

Dedicated software systems help provider become masters of efficient billing and claims processing.

How to Protect your Business from Medicare Claims Audits

Pre- and post-payment audits are plaguing providers, and there are some key things they can do to shield themselves.

Private Party

Are private payors’ short-sighted ‘velvet rope’ strategies shapes of HME to come?

AAHomecare Calls for Changes to CPAP ABN Rules

Letter to CMS asks for ABNs to be used on day one of therapy if noncompliance likely.

Anti-Fraud Bill Floated in Senate

FAST Act would target power chairs for pre-pay review; could be expanded to more DME.

Observation Deck:

The Larger Discussion

Debt ceiling debate puts HMEs in perilous spot.

CMS to Audit its Audits

Criticism at fraud summit pushes agency to review complaints over its sharply increased claims audits.

Editor's Note:

We’re Not in This Alone

CMS is overstepping — to HME’s benefit.

BCBSF Taps CareCentrix as Sole Provider

Florida Blue Cross Blue Shield partners with home health provider for all long-term services.

CMS Audits: The Dam Has Burst

Providers have found themselves in a torrent of pre- and post-payment audits. What can they do?

Editor's Note

Le Mot Juste

There’s a word for why many CMS audits are downright wrong.

Observation Deck

The Importance of Invoicing

Solely relying on statements doesn’t cut it.

HCPCS Meeting on DME and Accessories Set for June 8

Meeting agenda is now available for download.

New Oxygen Policy Synchronizes RULs

Change expected to be positive for most suppliers.

CMS Announces May 25 Open Door Forum

Forum is audio-only streaming web format.

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