Funding


CMS Expands QIC Phone Demonstration Project

Starting Nov. 1, a demonstration project that lets providers work with QIC over the phone to reopen claims at ALJ will grow to incorporate Jurisdictions A and B.

Mellott: Four Factors Will Help Shape HME

Brightree CEO Matt Mellott discusses pivotal business, care and technology trends that will influence how HME providers run their businesses.

CMS Also Eases DME Rules for Beneficiaries in Georgia

CMS says it will relax requirements for DME items lost or damaged due to Hurricane Michael.

CMS Relaxes Rules for HME Patients Hit By Hurricane Michael

As HHS Secretary Azar declares a public health emergency, CMS says it will ease requirements for DME items lost or damaged due to the storm.

Sleep Providers Told to Hunt Down, Refund Overpayments

June's HHS OIG report on PAP resupply overpayments has resulted in Medicare contractors asking some sleep providers to review claims going back over six years.

Breast Cancer Equity Bill Introduced in House

A new bill would require Medicare to fund custom breast protheses, and a public awareness campaign is driving support for the nascent legislation.

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Business Solutions

A Look Ahead For HME

Each October we ask the members of HMEB’s editorial advisory board to share their insights into the trends, obstacles, challenges and opportunities that providers will likely encounter over the next several months. This year, the board members are pointing to several developments that providers might not have on their radars.

Download: Whitepaper Examines Sole Source Contracts

AAHomecare whitepaper assesses the impact of Medicaid MCO plans and other payers’ use of sole source contracts.

Essentially Women Launches Make Me Whole Again Campaign

The public awareness campaign pushes Medicare to fund custom breast prostheses as Essentially Women and VGM Government Relations work to develop legislation requiring Medicare to do so.

CMS Relaxes Rules for HME Patients Hit by Hurricane Florence

As HHS Secretary Azar declares a public health emergency, CMS says it will ease requirements for DME items lost or damaged due to the storm.



Editor's Note

ESRD Rule: It's a Start

The proposed rule includes a lot of positives, but experts have pointed out some notable issues.

Problem Solvers

E-Prescribe Is Coming to HME

What should providers know and how should they prepare before transitioning to an e-prescription system?

Observation Deck

Going the Distance Against Bidding

VGM Launches Map Tool for Finding Reimbursement Lines

Following CMS's proposed plan for addressing lapses in bid contracts, the online map helps suppliers easily determine where competitive bidding areas begin and end.

A ‘Win’ for Providers: Injunction Against Recoupment of Money

An appellate decision from the Fifth Circuit Court of Appeals offers good news for providers caught in the ‘no man’s land’ between reconsideration and the Administrative Law Judge.

CMS Schedules Next DME Open Door Forum

July 11 conference call will address the Home Health Prospective Payment System Proposed Rule, other home health, hospice and DME issues.

Most PAP Resupply Claims Don’t Pass Medicare Muster

New report from HHS OIG says claims for replacement positive airway pressure device supplies didn’t comply with Medicare’s requirements.

CMS Will Factor in IFR for CURES Medicaid Rates

AAHomecare convinces CMS to permit state Medicaid programs to use the higher rates for claims that are impacted by the CURES mandates until Dec. 31.

CMS Will Expand PMD Prior Authorization

Industry push pays off: program will go nationwide and add an additional 31 HCPCS codes starting Sept. 1.

2018 HME Business Handbook: Enternal Nutrition

How To Get Started In Enteral Nutrition

Given the patient population and variety of products, providers looking to expand their revenues should look into enteral nutrition.

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