Funding


Observation Deck

Billing Non-Assigned

More providers are electing to be non-participating. What are the details?

HHS OIG Unveils 2017 Work Plan

The plan includes 10 DMEPOS-related investigations, including reports on nebulizers, power wheelchairs, and PAP therapy devices.

CMS Final Rule Covers Key Bidding Elements

New rule bases bid ceilings on 2015 unadjusted fee schedule; lowers surety bond to $50K per CBA bid.

Industry Vets Unveil HME Workflow System

VirtuteRN will provide a cloud-based system designed to help providers diversify their payer mix.

Third Audit Key Survey Opens October 15

Providers urged to add their audit data to help demonstrate audit program’s burdensome nature.

Problem Solvers

RAC Audits Version 2: Time to Prepare

As new RAC auditors are coming on board, the instances of RAC audits will increase. Providers must have their ducks in a row.

Future of HME

Business Solutions

Paving HME's Path

Each fall we turn to the members of HMEB's editorial advisory board to gain their insights into the trends, obstacles, challenges and opportunities that providers should consider as they shape their business strategies for the next several months. This year, many of the board members are telling us that the future will likely be what providers make of it.

Audit Denials Increased 6% from Q4 2015 to Q2 2016

Latest HME Audit Key report shows increase audit activity; AAHomecare urges providers to share their data.



CMS Revises CMS-855S, 2016 Fee Schedule

DMEPOS providers must use revised enrollment application starting Jan. 1, 2017; fee schedule changes impact 66 codes.

Ripple Effect: Bid Expansion Leads to Stiff Funding Cuts Outside Medicare

Providers serving TRICARE patients are now feeling the effect of CMS’s July 1 implementation of the full bid expansion cuts; patient access hangs in the balance.

CMS Relaxes Requirements on Sleep Accessories

Proof of medical necessity no longer required on all instances of replacement of CPAP or RAD accessories.

AAHomecare Continues Call for Provider Data

Providers urged to participate in the DME Cost Study and 2Q Audit Key survey to bolster industry’s case for bidding, audit reforms.

Observation Deck

Optimizing the Handling of Faxes

Still an everyday reality of healthcare, facsmiles can be mishandled by even the most efficient provider. How can efaxing help fix the problem?

U.S. Health Spending Grew 5.5% in 2015

CMS releases 2015 to 2025 projections of national health expenditures; 2016 spending projected to grow by 4.8 percent.

DME billing

Solving the DME Billing Puzzle

Billing Medicare for DME claims can be complex, especially for pharmacies that might be new to the process. How can special software solutions help?

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