After soliciting stakeholders’ input a new report from committee summarizes their concerns.
After soliciting stakeholders’ input a new report from committee summarizes their concerns.
- By Michael Reinemer
- May 02, 2013
Jane Naig, RN, CFE, AHFI, joins audit consulting firm as senior clinical consultant.
Jane Naig, RN, CFE, AHFI, joins audit consulting firm as senior clinical consultant.
- By David Kopf
- May 02, 2013
Observation Deck
Don't jeopardize your business's Medicare billing privileges, or your personal credit.
The system has its frustrations, but there are multiple steps providers can easily implement to protect their businesses and themselves against frivolous claims.
- By Warren G. Freeman
- May 01, 2013
Secretary Sebelius launches proposed rule to substantially boost reward payout for reporting acts of Medicare fraud.
Secretary Sebelius launches proposed rule to boost reward payout for reporting acts of Medicare fraud.
- By David Kopf
- Apr 25, 2013
Industry veterans and experts share their insights on where the industry has been, and where it's headed.
As HME Business magazine celebrates its 20th anniversary, we asked various industry veterans to share their thoughts on where the industry has been, where it is headed, what providers should be considering, and how they should be shaping their strategies and business plans to face the challenges of today and tomorrow.
- By David Kopf
- Apr 11, 2013
Industry Newsmaker
Wayne van Halem applies 11 years’ experience at Medicare to give providers audit assistance.
Wayne van Halem applies 11 years’ experience at Medicare to give providers audit assistance. Getting there has been an interesting journey.
- By David Kopf
- Apr 04, 2013
Business Solutions
As providers are beset by a flood of audits, they must ensure clean claims documentation. Here are some key considerations.
As providers continue to find themselves swimming in a sea of post- and pre-payment Medicare audits, they know flawless documentation is their best life line. What are the key ways they can implement strong documentation?
- By Cindy Horbrook
- Apr 01, 2013
Industry veterans and experts share their insights on where the industry has been, and where it's headed.
As HME Business magazine celebrates its 20th anniversary, we asked various industry veterans to share their thoughts on where the industry has been, where it is headed, what providers should be considering, and how they should be shaping their strategies and business plans to face the challenges of today and tomorrow.
Providers must decide by April 15 if they want to continue participating in Medicare program.
Providers must decide by April 15 if they want to continue participating in Medicare program.
- By David Kopf
- Mar 14, 2013
HME claims must be prescribed by health professionals in the system.
HME claims must be prescribed by health professionals in the system.
- By David Kopf
- Mar 07, 2013
While May 1 date appears to not be in effect, formal announcement could be coming.
While May 1 date appears to not be in effect, formal announcement could be coming.
- By David Kopf
- Feb 28, 2013
After underpayments and costs, only $488 million goes to trust fund; DME overpayments account for less than 5% of overpayments.
After underpayments and costs, only $488 million goes to trust fund; DME overpayments account for less than 5% of overpayments.
- By David Kopf
- Feb 07, 2013
Observation Deck
Alternatives to CMS's flawed methods exist.
In many cases, especially for power mobility devices (PMDs), a provider may not know whether a file meets all of the requirements until an audit occurs, due in part to the subjectivity of medical necessity documentation review.
- By Paul Komishock
- Feb 01, 2013
DME rates slashed by an average of 45 percent, diabetic supply rates drop an average of 72 percent.
DME rates slashed by an average of 45 percent, diabetic supply rates drop an average of 72 percent.
- By David Kopf
- Jan 30, 2013
New accountable care organizations represent opportunities for providers.
New accountable care organizations represent opportunities for providers.
- By David Kopf
- Jan 24, 2013