Funding


Proposed Federal Budget Impacts HME

President’s 2017 request includes broadening of competitive bidding, repeal of oxygen rental cap, other provisions.

Medicare Releases Final Rule on Overpayments

Rule clarifies when providers must report and return self‑identified overpayments.

CGS to Process Medicare Claims for Jurisdiction B

Transition slated for June 27 will see same contractor handling claims for Jurisdictions B and C.

power mobility funding

Problem Solvers

Making the Right Mobility Match

The nature of standard power mobility funding has added to the complexity of how providers ensure they select the right scooter for each patient.

VGM Insurance, AAHomecare Strike Pricing Deal

Insurance services provider and industry association partner to give AAHomcare members special rates on surety bonds and liability insurance.

Medtrade Spring Details Feb. 29 Workshops

Annual industry event will kick off with in-depth presentations covering DME certification, billing and A/R, sales, and a compression fitter’s course.

HME Spending Drops to 1.25% of Medicare Outlays

AAHomecare: While Medicare spending has skyrocketed since 2000, HME spending growth has remained flat.

Audit Key Goes Live

Providers urged to register for program that is collecting the hard data that will help make a strong case for reforming CMS’s audit program.



CMS Releases Prior Authorization Rule

Final rule would establish a prior auth. for certain DME items CMS considers frequently subject to unnecessary utilization.

Portable Medical Equipment Market to Hit $65.7 Billion in 2020

U.S. market leads the trend, with growth projected to hit $25.4 billion by 2020, according to study.

The Best Offense for Appeals: A Good Defense

One of the best strategies against an audit and possible appeal is prevention. Here are some key steps.

Industry Forecast

HME Business 2016 Annual Industry Forecast

2016 Big Ten

Each year HME Business profiles 10 upcoming trends that will help define the industry over the next 12 months. To be certain, competitive bidding will be one of those factors. Others challenges include audits and protecting complex rehab. But 2016 also offers opportunities, as well, such as retail sales and revenue diversification.

Audit Appeal

Business Solutions

Winning the Audit Appeal Game

Medicare claims audits do not stop at claims being recouped. If anything the process just begins. As providers have realized early on in the process, many audits can and should be appealed. We talked to various experts to outline the appeals process and understand how providers can improve their chances through the various steps.

Audit Key Goes Live in 2016

Providers encouraged to register for program that will help accumulate data that industry will use to reform CMS’s audit program.

Video: MiraVista Hosts Free Fee Schedule Webinar

Available at three different times and as an archive, webcast provides strategic information on CMS's 2016 fee schedule reductions.

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