Audits


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.

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.

Auditing the Audits

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

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?

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.



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.

AAHomecare Advances Agenda for Battling Audit Backlog

Video: Association's Pres. Ryan spoke at OMHA Appellant Forum last week; slated to meet with Chief ALJ Griswold next week.

Rep. Price Meets with Provider, VGM

HME owner, VGM’s Gallagher ask longtime industry ally to back audit reform, binding bids bill.

Rep. Ellmers Visits NCAMES Members

Lawmaker discusses competitive bidding, audits with industry representatives at N.C. provider.

HME Provider trends and challenges

Industry Roundtable

Go Time for HME

Members of HMEB's Editorial Advisory Board share their expert insights on key market and reimbursement trends that are directly impacting providers, as well as business and industry initiatives on which providers must act.

Editor's Note

If Not Now, When?

The time for hesitation is past. Providers must act on behalf of H.R. 5083 and H.R. 4920 if they want to fix audits, competitive bidding.

Industry Bills Pick up Steam

Binding Bids Bill up to 49 backers; AIR Act now has 36 co-sponsors.

HME Business Podcast

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