Providers have until Feb. 26 to enter their fourth quarter audit data into the industry audit-tracking site.
- By David Kopf
- Feb 18, 2016
Rule clarifies when providers must report and return self‑identified overpayments.
- By David Kopf
- Feb 11, 2016
Providers urged to register for program that is collecting the hard data that will help make a strong case for reforming CMS’s audit program.
- By David Kopf
- Jan 15, 2016
One of the best strategies against an audit and possible appeal is prevention. Here are some key steps.
HME Business 2016 Annual Industry Forecast
Each year HME Business profiles 10 upcoming trends that will help define the industry over the next 12 months. To be certain, competitive bidding will be one of those factors. Others challenges include audits and protecting complex rehab. But 2016 also offers opportunities, as well, such as retail sales and revenue diversification.
- By David Kopf
- Jan 01, 2016
Business Solutions
Medicare claims audits do not stop at claims being recouped. If anything the process just begins. As providers have realized early on in the process, many audits can and should be appealed. We talked to various experts to outline the appeals process and understand how providers can improve their chances through the various steps.
- By Joseph Duffy
- Jan 01, 2016
Providers encouraged to register for program that will help accumulate data that industry will use to reform CMS’s audit program.
- By David Kopf
- Dec 17, 2015
Editor's Note
Quality was not 'job one' when CMS designed its audit program — which need serious and immediate retooling.
- By David Kopf
- Dec 01, 2015
With high denial rates in Jurisdiction A, it is likely the audits will expand.
- By David Kopf
- Oct 01, 2015
Business Solutions
Providers face many challenges, but it’s time to turn the tables. Various experts assess the market and help determine how providers can set a smart course for success.
- By David Kopf
- Oct 01, 2015
Provider Strategy
CMS offers a key methodology to help providers follow-up on documentation requests for audits, PMD prior authorization and appeals.
- By Ellen Sluder
- Sep 01, 2015
AAHomcare analysis shows a whopping 2122% increase in DMEPOS-related audit appeals over past 8 years.
- By David Kopf
- Aug 27, 2015
July 21, 23 forums will give local HME providers an opportunity to publicly voice their concerns regarding audits, competitive bidding expansion.
- By David Kopf
- Jul 17, 2015
CMS settles with 1,900 on audited claims stuck in OMHA. AAHomecare asks, ‘Is there anything in sight for DMEPOS?’
- By David Kopf
- Jun 23, 2015
Audit & Appeal Fairness, Integrity, and Reforms in Medicare Act aims to add transparency, oversight to audits and appeals process.
- By David Kopf
- Jun 04, 2015
Observation Deck
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?
- By Pam Felkins Colbert
- Jun 01, 2015
2015 HME Handbook
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?
Tenn. lawmaker’s legislation would require CMS program to establish a program for higher cost DME similar to the power mobility demonstration project.
- By David Kopf
- May 26, 2015
Next week’s event gives providers an opportunity to lobby lawmakers and their staffs on behalf of various industry legislative initiatives.
- By David Kopf
- May 14, 2015
Senate Finance Committee explores problem of audit backlog, reviews possible methods to reduce problem.
- By David Kopf
- Apr 30, 2015