HME Business

In Search of Better Mornings: The State of Sleep Apnea

AAHomecare CEO to Congress: ‘We Believe 37% of the Industry Has Gone Out of Business’

3 Takeaways from the Health Subcommittee Meeting

Feature Stories See More >

Competitive Bidding Update Announces Lead Items, Pricing
The June 4 update marks the beginning of CMS’s pre-bidding supplier awareness program.

The June 4 update of the Centers for Medicare & Medicaid Services’ (CMS) Medicare competitive bidding website for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) includes information on lead items for bid categories and accompanying pricing. The update marked the start of CMS’s “pre-bidding supplier awareness program.” This summer, CMS is also due to…

Today on HME Business

By |

Prior Authorization Process Change Now in Effect at DME MACs
The new process, involving exempted suppliers, began June 1.

CGS Administrators, the jurisdictions B and C DME MAC, is reminding home medical equipment providers who bill Medicare about the June 1 change in the prior authorization process. Starting June 1, exempt suppliers — defined as those who didn’t opt out of the process — should not submit prior authorization requests. “All other suppliers must…

By |

Competitive Bidding Update Announces Lead Items, Pricing
The June 4 update marks the beginning of CMS’s pre-bidding supplier awareness program.

The June 4 update of the Centers for Medicare & Medicaid Services’ (CMS) Medicare competitive bidding website for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) includes information on lead items for bid categories and accompanying pricing. The update marked the start of CMS’s “pre-bidding supplier awareness program.” This summer, CMS is also due to…

By |

Rethinking RCM in HME Operations

Amanda Wreede hears it all the time. As the Senior Customer Success Manager at HME business management solution platform Brightree, Wreede meets with HME providers monthly and runs through their top revenue KPIs, such as held accounts receivable (AR) days, denial rate, net revenue and more. What she hears is a realization from providers of…

By |

Separating the Winners from the Losers in the Next HME Era

As reimbursement pressure, documentation requirements and patient financial responsibility all rise, successful providers will stop thinking in terms of individual workflows and instead start modernizing their entire operating system — from intake and fulfillment to resupply and revenue realization. Automation, backed with intelligence, can create new pathways to revenue that manual processes simply can’t achieve.…

By |

June 2026: How HME Is Fighting Fraud

How the home medical equipment (HME) industry is fighting fraud, from the perspectives of suppliers, policy experts, and technology experts … and how the Centers for Medicare & Medicaid Services’ (CMS) anti-fraud focus is different this time. Read the digital edition by filling out the form.

By |

VGM Appoints Chief Medical Officer to Provide Clinical Leadership for Healthcare Businesses
M. Kris Srinivasan, M.D., MBA, MHSE, will work to strengthen clinical processes and align quality standards across business units.

VGM Group has introduced M. Kris Srinivasan, M.D., MBA, MHSE, as its new chief medical officer. In his new role, “Srinivasan will provide clinical leadership across VGM Group’s non-acute healthcare businesses, advancing governance, medical policy oversight, and evidence-based standards that support the providers and organizations VGM serves,” the member service organization said in a June…

By |

‘Unnecessary and Very Burdensome’: Organizations Respond to Medicaid Work Requirement Interim Final Rule
Advocacy groups worry about unintended consequences for states and Medicaid patients.

Healthcare and advocacy organizations are reacting to the Centers for Medicare & Medicaid Services’ (CMS) interim final rule requiring “80 hours per month of qualifying activities, such as employment, participation in certain work programs, or community service, or be enrolled in educational program at least half time” for adults from 19 to 64 years old…

By |

CMS Issues Interim Final Rule on Medicaid Work Requirements
The rules provisions go into effect on July 31.

The Centers for Medicare & Medicaid Services (CMS) has issued an interim final rule “implementing a new statutory requirement for certain adults in Medicaid to meet an 80-hours-per-month work requirement — sometimes referred to as Medicaid community engagement — as a condition of eligibility.” In its June 1 announcement, CMS noted that states “must generally…

By |

NHIA: HCPCS Changes to Immune Globulin Therapies Will Disrupt Patient Care, Business Operations
In draft comments, the National Home Infusion Association urged CMS not to move forward with coding changes.

Changes to HCPCS codes for immune globulin products would create “significant administrative, operational, reimbursement and patient care challenges without providing meaningful clinical or financial benefit,” the National Home Infusion Association (NHIA) said in draft comments intended for the Centers for Medicare & Medicaid Services (CMS). In a May 26 announcement, NHIA said, “The comments emphasize…

Read All Articles >

Search HME Business