Funding


CMS Puts Hold on Audits for HMEs Hit by Hurricane

Agency to tell contractors to suspend audits for providers affected by Sandy.

VGM Unveils Outcomes Plus Wellness Network

Helps providers work with ACOs, bundled payment participants, hospital readmission reduction programs.

Round Two: Bracing for 2013

Industry Roundtable

Round Two: Bracing for 2013

The coming year promises a rough ride for the industry. Providers face many issues: competitive bidding Round Two; the fight to replace it with the MPP; the continued assault of pre- and post-payment audits; the pending face-to-face rule; and pior authorization for power mobility to name just a few. HMEB’s editorial advisory board discuss these issues and more and share their insights on how providers should approach 2013.

Taking the Bite Out of Oxygen Documentation

Audits

Taking the Bite Out of Oxygen Documentation

Although the denial rate may be improving, oxygen audits continue to challenge and frustrate providers. How can providers become oxygen audit ready?

CMS Postpones K0009 Policy Change Implementation

New coding policy for manual wheelchairs effective Feb. 28, 2013.

House Hearing Highlights NCB’s Flaws

Testimony at Small Business Subcommittee sets stage for advancement of MPP bill.

CMS Launches ACA Calls Starting Thursday

CMS is hosting first in a series of Open Door Forums concerning the Affordable Care Act.

ATP Involvement Needed for K0005s Starting in March

Providers of ultralight chairs must comply for claims with dates of service on or after March 1, 2013.



Observation Deck:

Counting the Days

Based on CMS history, Round Two bid rates could likely be announced on Sept. 24.

Some Round 2 Providers Receive Urgent License Requests

Providers and mail order suppliers receive emails asking them to send specific materials by Aug. 17.

Funding Fundamentals:

The Surety Bond Ball and Chain

Medicare-required surety bonds currently held by providers could quickly become problematic if a provider happens to go out of business.

NGS Rescinds Aug. 8 Rental/Purchase Reminder

Article suggesting rental for consumables such as diabetic test strips retracted.

PMD Prior Authorization Demo Starts Sept. 1

Program will run for 3 years, impacting nearly 50 percent of Medicare’s power mobility beneficiaries.

White Paper Informs Senate of Major Flaws in CMS Audits

VGM, providers, law firm submit document that informs Finance Committee of key problems with audit structure and their solutions.

Linde AG Buys Lincare Holdings

$4.6 billion acquisition will expand German firm’s reach into homecare.

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