Audits


Observation Deck

RAC Audits: Changes Are Coming

The remarkable increase in RAC audits has put a huge financial burden on providers to simply respond, and major changes are in the works, including improvements. What do providers need to know about what's happening with the program, and how should the prepare?

2015 HME Handbook

How to Properly Prepare Your Organization for ICD-10

The Department of Health and Human Services issued a rule setting Oct. 1 as the ICD-10 compliance date for healthcare providers, health plans, and healthcare clearinghouses. What should HME providers do to ensure they comply?

Rep. Blackburn Introduces Prior Authorization Bill

Tenn. lawmaker’s legislation would require CMS program to establish a program for higher cost DME similar to the power mobility demonstration project.

Washington Legislative Conference Just Around the Corner

Next week’s event gives providers an opportunity to lobby lawmakers and their staffs on behalf of various industry legislative initiatives.

Senate Hearing Highlights Audit Debacle

Senate Finance Committee explores problem of audit backlog, reviews possible methods to reduce problem.

AAHomecare Gears up for Washington Conference

Slated for May 20-21, the annual meeting and legislative push will cover key industry issues.

GAO Dismisses Protest over RAC Contract

CMS will likely move forward with assigning contract to Connolly LLC; reasons for dismissals are unclear.

NCAMES to Visit Sen. Burr's Staff


Meeting will focus on the impact nationwide expansion of competitive bidding in 2016 would have on providers, patients.



Industry Scores an Audit Win

Association worked with CMS to change the automatic RAC audits on DME claims related to Part A SNF, hospital stays.

Medicare Audit Update

Business Solutions

Treading Carefully

Medicare audits represent a shifting landscape in which audit contractors change their targets and priorities. We look at the latest changes and how providers should adjust, as well as the industry’s efforts to reform the currently out-of-control program.

AAHomecare Sets Aggressive Legislative Agenda

Efforts include pushing binding bids over the top, advancing MPP, audit reform, separate CRT benefit, prior authorization, state licensure effort.

OMHA Unveils Audit Appeal Status Site

Still reeling from delays, Medicare appeals office launches website that lets providers check the status of their ALJ appeals.

Auditing the Audits

HME Audit key looks to show impact of Medicare audits on providers

Medicare audits

Business Solutions

Scaling CMS's Audit Mountain

The steep challenges providers face when it comes to Medicare claims audits have only grown taller. HMEB talks to experts who offer smart documentation polices that can help them scale this difficult summit.

HME Business Big Ten

2015 Preview

Big Ten

As HME businesses continue to drive new revenue in 2015, the New Year also brings some serious challenges. We explore the solutions and opportunities in this year's list.

Provider Strategy

Addressing the 'New Normal'

If audits are now "just a part of doing business," then providers need to consider outsourcing their audit and appeal workload. How do they consider the options available to them?

Industry Legislation Poised to Lapse

As 113th Congress draws to a close, industry advocates set strategy for early 2015.

Industry Legislation Continues Pushing Forward

Binding Bids Bill now sitting at 64 co-sponsors, AIR Act at 45 backers.

Van Halem Group Adds More Medicare Know-How

Audit consulting firm adds six staffers; leadership boasts more than 130 years’ Medicare experience.

AIR Act Regains Momentum

Bill to reform CMS’s out-of-control audit program adds more congressional co-sponsors.

HME Business Podcast

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