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
Slated for May 20-21, the annual meeting and legislative push will cover key industry issues.
- By David Kopf
- Apr 23, 2015
CMS will likely move forward with assigning contract to Connolly LLC; reasons for dismissals are unclear.
- By David Kopf
- Apr 16, 2015
Meeting will focus on the impact nationwide expansion of competitive bidding in 2016 would have on providers, patients.
- By David Kopf
- Apr 09, 2015
Association worked with CMS to change the automatic RAC audits on DME claims related to Part A SNF, hospital stays.
- By David Kopf
- Apr 02, 2015
Business Solutions
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.
- By David Kopf
- Apr 01, 2015
Efforts include pushing binding bids over the top, advancing MPP, audit reform, separate CRT benefit, prior authorization, state licensure effort.
- By David Kopf
- Mar 31, 2015
Still reeling from delays, Medicare appeals office launches website that lets providers check the status of their ALJ appeals.
- By David Kopf
- Mar 05, 2015
Business Solutions
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.
- By Joseph Duffy
- Mar 01, 2015
HME Audit key looks to show impact of Medicare audits on providers
- By Joseph Duffy
- Mar 01, 2015
Provider Strategy
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?
- By Wayne van Halem
- Jan 01, 2015
2015 Preview
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.
- By David Kopf
- Jan 01, 2015
As 113th Congress draws to a close, industry advocates set strategy for early 2015.
- By David Kopf
- Dec 18, 2014
Binding Bids Bill now sitting at 64 co-sponsors, AIR Act at 45 backers.
- By David Kopf
- Dec 02, 2014
Audit consulting firm adds six staffers; leadership boasts more than 130 years’ Medicare experience.
- By David Kopf
- Dec 02, 2014
Bill to reform CMS’s out-of-control audit program adds more congressional co-sponsors.
- By David Kopf
- Nov 19, 2014