Funding


Video: MiraVista Hosts Free Fee Schedule Webinar

Available at three different times and as an archive, webcast provides strategic information on CMS's 2016 fee schedule reductions.

CMS Releases Corrected Fee Schedule

Schedule outlines the DME reimbursement that will apply after the Jan. 1 bid expansion.

Healthcare Spending Grew 5.3% in 2014

Consumer out-of-pocket health spending ticked up 1.3% for the year, according to annual national health expenditure report.

CMS Adjusting 2016 DMEPOS Fee Schedule

CMS identified errors in amounts for some items and will release revised fee schedule within the next week.

Editor's Note

Built to Fail

Quality was not 'job one' when CMS designed its audit program — which need serious and immediate retooling.

Observation Deck

The Need for HME 'Caretailing'

Retail sales are critical to expanding HME provider revenues in the face of Medicare reimbursement cuts, and Caretailing makes a solid patient connection.

Providers Starting to Get Paid Using ICD-10 Codes

CMS is returning paid ERAs to TeamDME! users shortly after Oct. 1 implementation of new coding system.

CMS Holds Off on Miscellaneous Code Changes

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



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.

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

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

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.

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.

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.

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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