While providers fight audits on the legislative front, they need to have a plan for dealing with them.
Business Solutions
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.
- By David Kopf
- Apr 01, 2014
Association advises Senate Finance Committee, gearing up to launch legislation, other initiatives.
- By David Kopf
- Mar 13, 2014
Latest report details various instances of Medicare fraud, but doesn’t focus on DME as the central cause.
- By David Kopf
- Mar 06, 2014
VGM members share their thoughts on Appellant Forum proceedings, two-year ALJ delay.
- By David Kopf
- Feb 13, 2014
AAHomecare’s Ryan tells OMHA’s Griswold that ALJ delay has put providers in ‘crisis mode’ and a fix is needed fast.
- By David Kopf
- Feb 13, 2014
Observation Deck
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.
- By Edward Vishnevetsky
- Feb 13, 2014
Feb. 12 discussion will address OMHA’s two-year delay on assigning judges to audit appeals.
- By David Kopf
- Jan 31, 2014
Fallout from decision to not assign a judge to new audit appeals for two years felt across healthcare.
- By David Kopf
- Jan 23, 2014
Regions A, B, C recovery audit contractors post new reviews.
- By David Kopf
- Jan 09, 2014
2014 Preview
The seventh installment of our annual forecast of key trends, obstacles and opportunities facing the HME provider industry shows that the coming year is one fi lled with challenges, but also chances for providers to reinvigorate their revenues. We examine what’s in store for the next 12 months and how providers should prepare.
- By David Kopf
- Jan 01, 2014
Business Solutions
The rollout of CMS's face-to-face requirement has been a non-stop series of delayed dates and constant confusion over what those dates actually mean. Now providers are not only wondering how they can convince legions of referral partners to comply, but what exactly is required and when. We talk to the experts to shed some light on the situation.
- By David Kopf
- Jan 01, 2014
Agency trims 0.5% off Medicare overpayments and sets underpayments to 10.125%.
- By David Kopf
- Oct 31, 2013
Sample claims are said to be representative of the most commonly seen mistakes.
- By Laurie Watanabe
- Oct 24, 2013
Business Solutions
HME providers have been on a roller coaster over the past few years. What's in store for them from a regulatory and business standpoint in 2014, and how should they shape their business strategies to survive and succeed?
- By David Kopf
- Oct 01, 2013
Provider Strategy
With audits and decreasing reimbursement levels diverting your attention, it can seem more and more difficult to keep the focus on providing the best in patient care, but there are things you can do and products you can add to your “fleet” that will improve your business while enhancing patient care.
- By Brian LaDuke
- Oct 01, 2013
Kelly Grahovac joins audit, compliance consulting firm after a decade with Medicare contractor.
- By David Kopf
- Jun 06, 2013
The 2013 HME Handbook: Audits
After soliciting stakeholders’ input a new report from committee summarizes their concerns.
- By Michael Reinemer
- May 02, 2013
Jane Naig, RN, CFE, AHFI, joins audit consulting firm as senior clinical consultant.
- By David Kopf
- May 02, 2013