Funding


The van Halem Group Adds Senior Consultant

Kelly Grahovac joins audit, compliance consulting firm after a decade with Medicare contractor.

Humana Plans to Use Competitive Bidding Rates

Private payor carrier will use reimbursement rates set by competitive bidding for non-network providers.

Audits

The 2013 HME Handbook: Audits

Getting Your Ducks in a Row

Senate Finance Hints at Program Integrity Changes for CMS

After soliciting stakeholders’ input a new report from committee summarizes their concerns.

The van Halem Group Hires Additional Medicare Clinician

Jane Naig, RN, CFE, AHFI, joins audit consulting firm as senior clinical consultant.

Observation Deck

Avoiding Frivolous Surety Bond Claims

The system has its frustrations, but there are multiple steps providers can easily implement to protect their businesses and themselves against frivolous claims.

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.

The Science and Art of Retail Planograms

Planograms can help HME retailers to improve their sales. Find out why planograms should be part of your retail strategy.

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