Funding


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?



A DME Billing Q&A with Newhard Pharmacy

This family pharmacy has offered a full line of DME for longer than 40 years — and sharpened its billing in the process.

AAHomecare Names Senior Director of Payor Relations

Twenty-year industry veteran Laura Williard will association members tackle funding challenges.

DME MACs Revise Ventilator Coding, Coverage Requirements

HME industry advocacy efforts help see removal of the imminent death criteria from the Frequent and Substantial Servicing category.

Providers Need to Learn About Key Audit Changes

Webinar from senior Van Halem Group expert Kelly Grahovac to identify new audit trends, and explain how providers should prepare.

New Senate Bill Boosts Disabled Vets Financial Stability

Sens. Thune, Schatz launch bill that would provide disabled veterans with a permanent COLA adjustment.

CMS Slates Next DME Open Door Forum

May 4 conference call will address various agenda items, including implementation of prior authorization.

Audit Key: MAC Prepayment Audits Averaged 12% for New Patients

First round of data from Fourth Quarter of 2015 yield a variety of results that take first step in documenting impact of audits on HME providers, patients.

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