Funding


HHS OIG Repeats Itself: Medicaid Should Implement Bidding

Office’s latest report recommends either CMS apply Medicare bid pricing to Medicaid programs, and Medicaids implement their own bid programs.

CMS Holds Off on Miscellaneous Code Changes

Proposed elimination of K0108 and E1399, other changes will not be implemented on Jan. 1, 2016.

Some States See Post-Pay Audits on Parenteral Nutrition, Ventilators

With high denial rates in Jurisdiction A, it is likely the audits will expand.

Smart Strategy

Business Solutions

Setting a Smart Strategy

Providers face many challenges, but it’s time to turn the tables. Various experts assess the market and help determine how providers can set a smart course for success.

CMS: ICD-10 Has Arrived

From this day forward, new Medicare claims must adhere to the new system; results of switch won’t likely be known until a full billing cycle.

Provider Strategy

esMD: Your Secret Weapon

CMS offers a key methodology to help providers follow-up on documentation requests for audits, PMD prior authorization and appeals.

Average Audit Appeal Processing Time Surges to 714 Days

AAHomcare analysis shows a whopping 2122% increase in DMEPOS-related audit appeals over past 8 years.

CMS Releases 2017 Round One Re-Compete Timetable

Notably, the length of contracts for 2017 edition of Round One is two years, rather than three.



power mobility

Products & Technology

Mobility's Great Leap Forward

As mobility providers struggle with lower reimbursement rates and complete upending of their business models, the manufacturers of power mobility products are creating devices that address changing industry and care trends.

Editor's Note

Taking ICD-10 Action

The most pertinent of those requirements today should be ICD-10, but many providers still don’t know what it is. Fortunately, there's help.

Healthcare Spending to Grow 5.8% During 2014-2024

Latest CMS report shows per capita health spending increases at historically low rate.

Medicare, Medicaid Celebrate Golden Anniversary

Fiftieth anniversary events include June 29 panel discussion with HHS Secretary and other speakers, as well as various local and national events.

Mont. Providers Urged to Attend SBA Hearings

July 21, 23 forums will give local HME providers an opportunity to publicly voice their concerns regarding audits, competitive bidding expansion.

Mediware Releases Patient Pay Solution

Software company leverages partnerships with A/R Allegiance, Rock-Pond to provide integrated collection service for CPR+ users.

Universal Software Partners with Prometheus Group

HME software, billing services companies will work to streamline HME providers’ billing operations, maximize revenue.

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