Funding


Podcast

Healthcare Vertical Integration and HME

What is vertical integration and how could it impact HME providers? Payer relations expert Laura Williard discusses the trend and the strategies being developed for dealing with it.

Observation Deck

H.R. 6641’s Reimbursement Ripple Effect

Success on H.R. 6641 could have wide-ranging impacts on DME reimbursement across a spectrum of payers far beyond Medicare. It’s essential that providers help raise the visibility of the bill.

Key Committees Reviewing N.Y. Rate Floor Bills

As the Assembly Ways & Means Committee and the Senate Finance Committee review companion bills, Empire State providers are urged to support the legislation.

HHS Extends COVID-19 PHE

The public health emergency, as well as the regulatory relaxations and reimbursement guidelines associated with it, will continue for another 90 days.

Podcast

Whither Competitive Bidding Round 2024?

Kim Brummett of AAHomecare breaks down how the next round of competitive bidding might play out, what CMS might do, and where the program might be headed in the future.

Jeffrey S. Baird

Provider Strategy

DME Compliance Guide in a Nutshell

Here's a rundown of the compliance requirements providers must remember to keep at the top of their minds.

Clayback to Step Down from NCART Executive Director Role

After 13 years of reimbursement and policy work, the longtime CRT advocate will vacate the association’s leadership position in September.

PAMS Gears up for 2022 Annual Convention

The Pennsylvania provider association’s April 20-22 in Harrisburg features a variety of educational sessions and a golf tournament.

CMS Approves ARPA Relief for Ohio

The Ohio Department of Medicaid can now distribute Federal relief for Home and Community-Based Service providers, including DME suppliers.

Podcast

The Industry’s Fight to Fix Reimbursement

AAHomecare’s Jay Witter details the legislative efforts to secure 90/10 reimbursement for Round 2021’s 13 uncontracted categories and extend the 75/25 blended rate for non-rural, non-CBA suppliers.



Providers Urged to Make ‘Direct Contact’ for H.R. 6641

AAHomecare calls on HME stakeholders to meet with lawmakers and staff in person, over the phone, or via video on behalf of Medicare reimbursement legislation.

New York Providers Urged to Back Rate Floor Legislation

NEMEP calls on HME stakeholders to ask their Senate and Assembly members to sign on to A.5368 and S.5118 to require MCOs to reimburse DME claims at state rates.

AAHomecare Meets with Lawmakers, Staffers on Reimbursement

Association builds support for H.R. 6641 and works with Senate contacts on approaches to preserve the current 75/25 blended rate for non-rural, non-CBA suppliers beyond the end of the Public Health Emergency.

$67 Million Fraud Operation Involved DME Claims

Ten Florida residents were indicted for various crimes involving fraudulent claims to Medicare for medically unnecessary durable medical equipment and genetic tests.

Survey: 84% of Patients Don’t Support ‘Patient Steering’

The majority of those surveyed also said insurers should not require patients to use pharmacies owned by the insurer.

AAHomecare Seeks Payer Relations Manager

The position will work closely with the association’s senior payer relations team to support the development of state-level payer relations strategy, as well as advocacy efforts.

Podcast

CMS’s Vaccine Mandate: More than Meets the Eye

How well do you understand CMS’s Covid-19 vaccine mandate when it comes to DME suppliers and DME pharmacies? Are you sure?

Florida Legislation Would Set MCO Rate Floor

Legislation in both chambers of sunshine state’s legislature would set minimum MCO reimbursement at Florida’s current Medicaid DME fee schedule.

AAHomecare: H.R. 6641 Support is a ‘Top Priority’

The House reconvening next week creates a window of opportunity to get co-sponsors for the 90/10 reimbursement bill.

VGM Surveying Providers on Delivery Costs

Providers have until Feb. 28 to reply to a short survey updating its 2021 survey on providing various types of HME before and during the public health emergency.

HME Business Podcast