Funding


CMS Releases Prior Authorization Rule

Final rule would establish a prior auth. for certain DME items CMS considers frequently subject to unnecessary utilization.

Portable Medical Equipment Market to Hit $65.7 Billion in 2020

U.S. market leads the trend, with growth projected to hit $25.4 billion by 2020, according to study.

The Best Offense for Appeals: A Good Defense

One of the best strategies against an audit and possible appeal is prevention. Here are some key steps.

Industry Forecast

HME Business 2016 Annual Industry Forecast

2016 Big Ten

Each year HME Business profiles 10 upcoming trends that will help define the industry over the next 12 months. To be certain, competitive bidding will be one of those factors. Others challenges include audits and protecting complex rehab. But 2016 also offers opportunities, as well, such as retail sales and revenue diversification.

Audit Appeal

Business Solutions

Winning the Audit Appeal Game

Medicare claims audits do not stop at claims being recouped. If anything the process just begins. As providers have realized early on in the process, many audits can and should be appealed. We talked to various experts to outline the appeals process and understand how providers can improve their chances through the various steps.

Audit Key Goes Live in 2016

Providers encouraged to register for program that will help accumulate data that industry will use to reform CMS’s audit program.

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.

Grow Your Advanced Wound Care Business

Advanced wound care offers many opportunities to create new revenue streams and help a population that most DME providers already serve.

Subscribe to e-Source

HME Business' free email newsletter keeping you up-to-date and informed.

I agree to this site's Privacy Policy