Funding


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Business Solutions

Managing Multiple Payer Relations

Our annual roundtable with the HMEB Editorial Advisory draws one almost unanimous conclusion: providers must diversify and learn how to deal with multiple payers and revenue sources.

game plan

Business Solutions

A Game Plan for Six-Year Lookbacks

CMS's six-year lookback audits represent a daunting challenge for HME providers, but there are steps they can take to deal with them.

AAHomecare Submits Comments on ESRD/DMEPOS Proposed Rule

Association submits comments on a variety of provisions in the rule and urges providers to submit comments by the Sept. 27 deadline.a

Comments on Proposed ESRD/DMEPOS Rule Due Sept. 27

The proposed rule contains HME-related provisions such as changes to its ‘gap-filling’ method, payment requirements, and change of ownership timeline.

N.C. Delays Transition to Managed Care Due to Budget Standoff

The state says it will move to managed care in one phase in February rather than beginning the process on Nov. 1.

Round 2021 Bid Window Closes Sept. 18

The end of bidding for Round 2021 is fast approaching; industry experts share insights on what providers need to be doing now.

Podcast

Managing the Managed Care Opportunity

Legal expert Jeff Baird discusses managed care on latest HMEB podcast episode; podcast also examines how providers can better manage their equipment ‘fleets.’

Providers Testify at SBA Regulatory Fairness Hearing

Representatives of HME, CRT and women’s health businesses discuss small business impact of policies governing wheelchair accessories, custom breast prostheses, and Medicaid managed care.

DBidS Registration Ends Aug. 16

Other important Round 2021 dates looming include covered document review and bidding window closure.

Bidding Tutorial: How Capacity and Demand Influence Payment Rates

Tutorial includes video, charts, and a detailed explanation on how capacity and demand can impact SPAs.



AAHomecare Offers More Proposed Rule Insights

In addition to last week’s details on CMS’s proposed ESRD/DMEPOS rule, association gives details on proposed adjustments to face-to-face criteria and changes of ownership timeline.

CMS Suggest Gap-Filling Changes in Proposed Rule

Recently unveiled 2020 ESRD/DMEPOS Proposed Rule includes various changes to how reimbursement rates are set.

AAHomecare Starting a Payer Relations Council

Association also approaching completion of state-level legislation and regulatory toolkit to help industry advocates.

CBIC Releases Round 2021 Scoring Details

New fact sheet outlines CMS’s methodology for computing its financial rating for providers participating in competitive bidding.

Round 2021 Bid Window Opens

Providers wishing to compete have until Sept. 18; CMS, CBIC, industry organizations continue to emphasize their educational resources to help providers prepare their bids.

N.C. Lawmakers Pass Incontinence Legislation

Industry stakeholders in the Tar Heel State secure sales tax exemptions for incontinence products; legislation goes to Gov. for signature.

HMEB Podcast: Zip Code Changes and CRT Opportunities

Episode 010 of the HME Business talks to experts about funding implications of CMS’s reclassification of multiple rural and non-bid zip codes, as well as sales opportunities for HME providers in the CRT market.

RAC Approved to Audit Diabetes Test Strips

Performant will only review HCPCS code A4253 and claims paid date must be within three years before the Additional Documentation Request.

Non-Invasive Vent Letter Launched in Senate

Newly unveiled companion to House letter calls on CMS and HHS to pull back from including non-invasive vents in competitive bidding. Providers urged to enlist their Senators’ support.

CMS Opens Round 2021 Registration

Authorized officials have 14 days to get in DBIdS and Connexion, backup authorized officials have 21 days, and the registration window closes completely in 67 days.

HME Business Podcast

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