Industry Roundtable
The coming year promises a rough ride for the industry. Providers face many issues: competitive bidding Round Two; the fight to replace it with the MPP; the continued assault of pre- and post-payment audits; the pending face-to-face rule; and pior authorization for power mobility to name just a few. HMEB’s editorial advisory board discuss these issues and more and share their insights on how providers should approach 2013.
- By David Kopf
- Oct 10, 2012
Audits
Although the denial rate may be improving, oxygen audits continue to challenge and frustrate providers. How can providers become oxygen audit ready?
- By Joseph Duffy
- Oct 01, 2012
VGM, providers, law firm submit document that informs Finance Committee of key problems with audit structure and their solutions.
- By David Kopf
- Jul 18, 2012
Leading Sens. and Reps. call for an examination into ‘duplicative efforts’ of Medicare audit contractors.
- By David Kopf
- Jun 28, 2012
House subcommittee chair blasts CMS for ‘incompetence’ in audit oversight.
- By David Kopf
- Jun 13, 2012
Medicare Audits
How to minimize the impact of Medicare audits by implementing practices that will ensure claims pass muster, as well as help the organization rapidly respond to auditors' documentation requests.
Software Audit Tools
How to leverage HME software to respond to audits.
Medicare Audits
How to minimize the impact of Medicare audits.
Editor’s Note
- By David Kopf
- Jun 01, 2012
Editor's Note
Two years have demonstrated that the madness of audits needs to stop.
- By David Kopf
- May 23, 2012
Open letter calls on professionals to provide 'fresh perspective' on identifying, fighting 'waste, fraud and abuse.'
- By David Kopf
- May 03, 2012
Observation Deck
The reality is that the Affordable Care Act has made it mandatory for all healthcare providers, at some point, to implement a comprehensive compliance program that meets or exceeds government expectations. Why not make the investment of the front end to better prepare your organization, implement effective internal controls, improve the efficiency of your staff, and provide better quality of service to your patients?
- By Wayne van Halem
- May 01, 2012
- By David Kopf
- Feb 01, 2012
Products & Technology
Since the start of 2011, providers have been fending off a relentless onslaught of pre- and post-payment audits on Medicare claims. How can technology help them win this war of attrition?
- By David Kopf
- Feb 01, 2012
- By David Kopf
- Feb 01, 2012
The Big 10
Audits were the biggest issue immediately threatening the industry through 2011, and while the industry deals with the bidding of Round Two of competitive bidding, and works to advance the marketing pricing program as an alternative, audits will remain a serious issue for 2012.
- By David Kopf
- Jan 01, 2012
VGM offers members discounts of HME prescription, documentation system that safeguards against audits.
- By David Kopf
- Dec 15, 2011
Report says Anti-Fraud Contractors used bad data to report workloads while being paid $22+ Billion.
- By David Kopf
- Nov 17, 2011
Reimbursement reductions part of $230 billion plan to cover doc fix.
- By David Kopf
- Sep 27, 2011
Funding Fundamentals:
ZPICs mean no more business as usual in DME.
- By Wayne van Halem
- Sep 01, 2011