Funding


Medicaid Bidding Proposal Re-Surfaces

AAHomecare fights suggested legislation that would see competitive bidding rates applied to Medicaid in order to cover ‘doc fix’ costs.

Industry to OMHA: Audit Process Is Broken

AAHomecare’s Ryan tells OMHA’s Griswold that ALJ delay has put providers in ‘crisis mode’ and a fix is needed fast.

Observation Deck

Flirting with Disaster

OMHA’s decision to delay assigning ALJs to audit appeals for up to more than 24 months does far more damage than holding recouped reimbursement in limbo. Even a cursory investigation of the latest developments make it patently clear that these delays may put more Medicare providers out of business than any other issue facing healthcare companies today.

Video: HMEs Comment on OMHA Meeting

VGM members share their thoughts on Appellant Forum proceedings, two-year ALJ delay.

Medicare PAP Use Outpacing Other DME

Number of beneficiaries using sleep devices up 13%, allowed charges up 23% from 2012 to 2013.

Keith Lilek

Industry Newsmaker

The Fine Art of Collecting Co-Pays

A/R Allegiance’s Keith Lilek has spent nearly his entire professional life engaged in collections for the healthcare market. He's learned from the best and has applied key practices to the HME industry. Lilek shares some of his insights in the run-up to a special Feb. 12 webinar on collecting patient co-pays.

AAHomecare Makes Ready for ALJ-Delay Meeting

Feb. 12 discussion will address OMHA’s two-year delay on assigning judges to audit appeals.

Medicare Touts ACO Initiative

Savings driven by Medicare and Pioneer ACOs top $380M in first 12 months.



Medicare to Pay for Repairs to Scooter Store PMDs

CMS says it plans to pay for repairs performed on or after Oct. 24 2013.

Many Providers Frozen by CMS’s ALJ Appeal Delay

Fallout from decision to not assign a judge to new audit appeals for two years felt across healthcare.

Video: ‪CMS Posts ICD-10 Video

MLN Connects Youtube offering covers coding basics‬.

CMS Release Jan. 22 Open Door Agenda

DME discussion will include fiscal year 2015 reporting cycle data collection requirements.

Brightree Acquires Strategic AR

Software player will Integrate accounts receivable company’s automated patient collections services.

Observation Deck

CMS's Unfair Capped Rental Decision

Why were bone growth stimulators the one item CMS decided not to move from the “inexpensive and routinely purchased” category and into the “capped rental” category?

PECOS Edits Go Into Effect

Providers will not be reimbursed for claims sourced from referrals no longer in system.

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