Funding


HHS Could Boost Fraud Reward to Nearly $10 Million

Secretary Sebelius launches proposed rule to boost reward payout for reporting acts of Medicare fraud.

HME Then & Now

HME Then & Now

As HME Business magazine celebrates its 20th anniversary, we asked various industry veterans to share their thoughts on where the industry has been, where it is headed, what providers should be considering, and how they should be shaping their strategies and business plans to face the challenges of today and tomorrow.

Industry Newsmaker

Bridging Worlds

Wayne van Halem applies 11 years’ experience at Medicare to give providers audit assistance. Getting there has been an interesting journey.

Rock-Solid Documentation

Business Solutions

Steps to Rock-Solid Documentation

As providers continue to find themselves swimming in a sea of post- and pre-payment Medicare audits, they know flawless documentation is their best life line. What are the key ways they can implement strong documentation?

HME Then & Now

HME Then & Now

As HME Business magazine celebrates its 20th anniversary, we asked various industry veterans to share their thoughts on where the industry has been, where it is headed, what providers should be considering, and how they should be shaping their strategies and business plans to face the challenges of today and tomorrow.

DME Medicare Participation Enrollment Extended

Providers must decide by April 15 if they want to continue participating in Medicare program.

PECOS Phase 2 Effective on May 1

HME claims must be prescribed by health professionals in the system.

CMS Announces, Retracts PECOS Implementation Notice

While May 1 date appears to not be in effect, formal announcement could be coming.



2011 RAC Audits Save $488 million of $797 Million Collected

After underpayments and costs, only $488 million goes to trust fund; DME overpayments account for less than 5% of overpayments.

Observation Deck

Medicare's Most Stringent Audits

In many cases, especially for power mobility devices (PMDs), a provider may not know whether a file meets all of the requirements until an audit occurs, due in part to the subjectivity of medical necessity documentation review.

CMS Drops Round Two Pricing Bomb

DME rates slashed by an average of 45 percent, diabetic supply rates drop an average of 72 percent.

CMS Unveils 106 ACOs

New accountable care organizations represent opportunities for providers.

GAO, AAHomecare Discuss Audit Issues

Accountability office meets with association to ask various questions regarding post-payment audit cocnerns.

HME Big Ten

2013: The Year Ahead

Big Ten

It's that's time of the year again: The HMEB Big Ten. In the sixth annual edition of our list, we look at 10 key trends, challenges and opportunites that will define the next 12 months for HME providers.

Problem Solvers

Preparing for Potential Audits

Increased funding and more Medicare claims processors could mean more audits for 2013. How should HMEs prepare?

Subscribe to e-Source

HME Business' free email newsletter keeping you up-to-date and informed.

I agree to this site's Privacy Policy