HME Business

In Search of Better Mornings: The State of Sleep Apnea

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3 Takeaways from the Health Subcommittee Meeting

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MedPAC: DMEPOS Suppliers Lead Medicare in Improper Payment Errors
The error rate for DMEPOS suppliers was nearly four times the overall Medicare fee-for-service improper payment rate of 6.6%.

Suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) posted the highest improper payment rate among all Medicare provider types in fiscal 2025, with documentation failures driving the majority of errors that cost the federal program billions of dollars. The error rate for DMEPOS suppliers reached 24.2%, or nearly four times the overall Medicare…

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Nominations For the Inaugural Product of the Year Awards Close June 30
Nominations for the inaugural HME Business (HMEB) Product of the Year (POY) Awards will close next Tuesday, June 30 by 11:59pm CDT.

The inaugural HMEB POY Awards recognize innovative, evidence-informed products, solutions and technologies that deliver real-world impact by improving quality of life, care, safety, and operational effectiveness across the HME industry. Manufacturers (or their representatives) serving the HME industry are eligible to nominate their products, solutions and technologies across 15 categories, including: Accreditation, Compliance & Regulatory Services…

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What HME Buyers Want to See from Prospective Partners
HME providers and other healthcare buyers are open to new vendor business ... with conditions.

Home medical equipment (HME) providers and other healthcare buyers are open for new vendor business. That openness comes with conditions, though. That’s according to WTWH Media’s M2 Research project, which surveyed healthcare professionals across several industries about how they discover, evaluate and choose vendors. Broadly, findings from the M2 Research project show that healthcare decisionmakers…

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MedPAC: DMEPOS Suppliers Lead Medicare in Improper Payment Errors
The error rate for DMEPOS suppliers was nearly four times the overall Medicare fee-for-service improper payment rate of 6.6%.

Suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) posted the highest improper payment rate among all Medicare provider types in fiscal 2025, with documentation failures driving the majority of errors that cost the federal program billions of dollars. The error rate for DMEPOS suppliers reached 24.2%, or nearly four times the overall Medicare…

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CMS Toughens Oversight of Accrediting Organizations
The Centers for Medicare & Medicaid Services published a final rule and fact sheet in June.

The Centers for Medicare & Medicaid Services (CMS) has published a fact sheet centered on the obligations of accrediting organizations (AOs) that survey Medicare and Medicaid providers and suppliers. The June 12 fact sheet emphasized that AOs’ accreditation standards “must meet or exceed the requirements and conditions under the Medicare or Medicaid programs to ensure…

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HME Business Webinar: The Impact of Anti-Fraud Measures on DME, Home Health, Hospice Providers
June 23 event will discuss how Centers for Medicare & Medicaid Services’ actions are affecting businesses and patients.

The next webinar from HME Business will bring together experts from durable medical equipment (DME), home health and hospice to discuss the Centers for Medicare & Medicaid Services’ (CMS) recent anti-fraud measures — and how Medicare beneficiaries in all three segments are being impacted. The June 23 webinar — Fraud in Focus: What CMS’s Moratoria…

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Battle-Ready AI
How artificial intelligence can help DME suppliers defend patients from fraud.

It’s clear that successfully fighting fraud engineered by sophisticated criminal organizations requires a number of concurrent industry strategies — including enlisting the latest technology. “When fraud and abuse come into focus, it is often addressed through tighter policies and increased documentation requirements,” said Robin Randolph, senior vice president of sales and marketing for sovaSage Inc.…

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CMS Publishes Competitive Bidding Fact Sheet for Small Suppliers
Small suppliers can form networks to bid, the Centers for Medicare & Medicaid Services said.

As details about the restart of Medicare competitive bidding for durable medical equipment continue to emerge, the Centers for Medicare & Medicaid Services (CMS) has published a fact sheet for small suppliers who want to participate. The Small Supplier Considerations fact sheet, released June 4, said that in accordance with the Social Security Act, CMS…

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In the Trenches
The HME suppliers’ perspective on fraud.

Fraud tied to durable (DME) or home medical equipment (HME), of course, is not a victimless crime. The Medicare trust fund is harmed by fraud, and as a result, so are the beneficiaries who rely on it — seniors, people with disabilities, and indirectly, their caregivers. But others are harmed as well, whether the fraud…

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Shields Up!
Policy experts on CMS’s newly proactive strategy against fraud.

Combating Medicare fraud is hardly a new topic to the durable and home medical equipment industry (DME/HME). What does change from administration to administration is how the Centers for Medicare & Medicaid Services (CMS) chooses to fight fraud. The most recent CMS initiative is known as Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH), announced in…

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VGM Names Director of Billing & Reimbursement
Stephanie Robinson has more than 25 years of experience in operations, revenue cycle management, compliance and reimbursement.

VGM & Associates has appointed a director of billing and reimbursement. Stephanie Robinson, an industry veteran with more than 25 years of experience in the home medical equipment segment, brings to her new role deep expertise in operations, revenue cycle management, compliance and reimbursement, VGM said in a June 5 announcement. Robinson will collaborate with…

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