Audits


Bids, Audits Bills Up; MPP Bill Hovers

Recently released binding bids and audit reform bills gain sponsors while MPP sits at 180.

Legislation to Fix Audits Unveiled

Bill introduced by Reps. Ellmers and Barrow boosts transparency, rewards low error rates.

Audit Bill in the Works

Legislation would limit documentation look back periods; require timely filing limits; create education program.

VGM Acquires van Halem Group

Audit consulting firm will retain staff and offices to serve both VGM members and non-member DME, healthcare companies.

AAHomcare Announces ‘Massive’ Audit Program

Audit Key effort will collect data that completely, accurately tracks impact of Medicare audits.

HME Documentation Policies

The 2014 HME Handbook: Documentation

How to Protect Your Business with Iron-Clad Documentation Policies

Video: Rep. Meadows Roasts CMS on Audits

North Carolina takes CMS to task on ALJ delay during House Oversight and Government Reform hearing.

AAHomecare Developing Audit Tracking System

Association launches effort to track and measure how Medicare audits are impacting HME providers.

North Carolina Lawmaker to Sponsor Audit Repair Bill

Rep. Ellmers steps up to spearhead legislation that would rein-in, repair CMS’s dysfunctional audit program.

Competitive Bidding and Audits

AAHomecare Triple Play

CMS's Competitive Bidding and Audits Change Up

In this new department of HME Business, we interview The American Association for Homecare's experts to get their insights on important legislative, policy, regulatory and industry advocacy developments.



Inaccurate Claim Denials Overturned

VGM effort to collect inappropriate denials for OMHA meeting pays off for providers.

Breaking Through Audits

Business Solutions

Breaking Through Audits

CMS's audit onslaught has been a trial and tribulation for the HME industry, but matters took a turn for the terrifying when the agency announced that it would delay assigning Administrative Law Judges to audit appeals by two years. Now the industry has redoubled its efforts to bring an out-of-control situation back under control.

Documentation: Dealing With Audits

While providers fight audits on the legislative front, they need to have a plan for dealing with them.

AAHomecare Outlines Audit Reform Objectives

Association advises Senate Finance Committee, gearing up to launch legislation, other initiatives.

HHS, DOJ Recover $4.3B in Fraud

Latest report details various instances of Medicare fraud, but doesn’t focus on DME as the central cause.

Video: HMEs Comment on OMHA Meeting

VGM members share their thoughts on Appellant Forum proceedings, two-year ALJ delay.

Observation Deck

Flirting with Disaster

OMHA’s decision to delay assigning ALJs to audit appeals for up to more than 24 months does far more damage than holding recouped reimbursement in limbo. Even a cursory investigation of the latest developments make it patently clear that these delays may put more Medicare providers out of business than any other issue facing healthcare companies today.

Industry to OMHA: Audit Process Is Broken

AAHomecare’s Ryan tells OMHA’s Griswold that ALJ delay has put providers in ‘crisis mode’ and a fix is needed fast.

AAHomecare Makes Ready for ALJ-Delay Meeting

Feb. 12 discussion will address OMHA’s two-year delay on assigning judges to audit appeals.

Many Providers Frozen by CMS’s ALJ Appeal Delay

Fallout from decision to not assign a judge to new audit appeals for two years felt across healthcare.

Podcast with Sandra Canally

Subscribe to e-Source

HME Business' free email newsletter keeping you up-to-date and informed.

I agree to this site's Privacy Policy