The number of audit appeal being escalated to ALJs has skyrocketed over the past fiscal year, with DMEPOS claims taking up the lion’s share.
- By David Kopf
- Oct 19, 2017
Second Quarter Audit Key survey releases several significant findings related to Medicare claims audits.
- By David Kopf
- Oct 05, 2017
Oct. 24 presentation from van Halem Group duo will examine the ways in which CMS is changing the way CMS is performing some audits -- some for the better.
- By David Kopf
- Sep 21, 2017
Brightree Report is now available for the second quarter 2017 Audit Key data submissions.
- By David Kopf
- Aug 31, 2017
VGM’s van Halem Group will work with maker of HIPAA software to offer HME providers a custom HIPAA-compliance program.
- By David Kopf
- Aug 24, 2017
AAHomecare reminds providers that the survey doesn’t require individual claims data, but rather cumulative totals on specific audit metrics.
- By David Kopf
- Aug 16, 2017
Latest Audit Key survey shows continued appeal determinations in favor of providers for several mainstay offerings.
- By David Kopf
- Jul 13, 2017
Home Oxygen Company’s president shares how her oxygen and sleep business earned a reprieve on CPAP and O2 audits.
- By David Kopf
- Jun 08, 2017
Home healthcare management company identifies DME as “high risk areas.”
- By David Kopf
- Jun 01, 2017
Effort by van Halem Group will see RAC recover incorrect reductions owed to suppliers
- By David Kopf
- May 18, 2017
DME MACs will change appeals of recurring claims for capped rental items and certain inexpensive and routinely-purchased items.
- By David Kopf
- Apr 27, 2017
Tool helps industry collect audit data in order to help make its case for reforming CMS’s audit program; now easier for Brightree users.
- By David Kopf
- Apr 06, 2017
Business Solutions
As the new RAC comes online, and as the 2017 HHS OIG Workplan is in effect, what can respiratory providers expect in terms of audits, and how should they respond?
- By David Kopf
- Apr 01, 2017
Provider Strategy
New changes to the RAC program will start this month. What does that mean for providers?
- By Wayne van Halem
- Mar 01, 2017
HME Audit Key program urges providers to submit their audit data for Q4 2016; program helps industry better understand audits and advocate reforms.
- By David Kopf
- Jan 12, 2017
DME Pharmacy
Pharmacies selling Medicare reimbursable DME items will eventually be audited. We examine how to protect your claims and how documentation helps minimize your risk of having a claim recouped.
- By Joseph Duffy
- Dec 01, 2016
The plan includes 10 DMEPOS-related investigations, including reports on nebulizers, power wheelchairs, and PAP therapy devices.
- By David Kopf
- Nov 17, 2016
Providers urged to add their audit data to help demonstrate audit program’s burdensome nature.
- By David Kopf
- Oct 06, 2016
Business Solutions
Each fall we turn to the members of HMEB's editorial advisory board to gain their insights into the trends, obstacles, challenges and opportunities that providers should consider as they shape their business strategies for the next several months. This year, many of the board members are telling us that the future will likely be what providers make of it.
- By David Kopf
- Oct 01, 2016
Problem Solvers
As new RAC auditors are coming on board, the instances of RAC audits will increase. Providers must have their ducks in a row.
- By David Kopf
- Oct 01, 2016