A CPAP code was incorrectly added to an earlier policy update; AAHomecare seeking clarification on reprocessing any denied claims.
- By David Kopf
- May 09, 2019
May 15 Open Door Forum will address CMS’s addition of 12 more items to prior authorization, as well as the next round of completive bidding.
- By David Kopf
- May 08, 2019
Registration starts June 10 and the bid window opens on July 16 for the next iteration of the competitive bidding program, which includes significant changes such as lead item pricing and bid surety bonds.
- By David Kopf
- May 07, 2019
Georgia DME CEO sentenced to more than three years plus fines and restitution for involvement in history-making Medicare fraud.
- By David Kopf
- May 07, 2019
CMS series of three webinars will cover various topics related to Round 2021 during May.
- By David Kopf
- May 02, 2019
Prior authorization for most new codes added to the program goes into effect on July 21, with PA for the remainder to going into effect on Oct. 21.
- By David Kopf
- May 02, 2019
CBIC, AAHomecare, industry experts all emphasize the need for providers to start using lead item pricing calculators and educate themselves on the pricing method well before Round 2021 bidding begins.
- By David Kopf
- Apr 25, 2019
Ongoing advocacy work by OMEPA results in both chambers approving H.B. 1262, which would free HME items from the Sooner State’s sizable sales tax; Governor poised to approve.
- By David Kopf
- Apr 25, 2019
In one of the biggest healthcare frauds in U.S. history, the Feds round up DMEs, telemarketers and medical professionals in a $1.2 billion orthopedic brace scam; various industry insiders share their perspective.
- By David Kopf
- Apr 10, 2019
The new site, dmecbpeducation.com, offers a variety of resources to help providers prepare for Round 2021, including bid calculators based on new lead item pricing system.
- By David Kopf
- Apr 04, 2019
Observation Deck
What are Managed Care Plans and how can HME providers properly prepare to negotiate agreements with those plans?
- By Jeffrey S. Baird
- Apr 01, 2019
Bid contractor urges providers to review their enrollment records now, and ensure they understand the commonly owned and commonly controlled distinctions.
- By David Kopf
- Mar 26, 2019
VGM Insurance Services partners with Lexon Insurance Company to help HME providers meet new surety bond requirements for Round 2021.
- By David Kopf
- Mar 21, 2019
Association meets with White House Domestic Policy Council on CMS’s addition of non-invasive ventilators to Round 2021.
- By David Kopf
- Mar 21, 2019
Competitive bidding contractor begins Round 2021 education efforts by reminding providers to ensure their locations are accredited and have the right state licensing.
- By David Kopf
- Mar 21, 2019
In the final installment of a four-part series, HME industry legal expert Jeffrey S. Baird covers working towards state legislative remedies and the steps that providers can take to persuade a Plan.
- By Jeffrey S. Baird
- Mar 14, 2019
Latest installment in HMEB’s quickly growing podcast survey examines breast cancer legislation and six-year lookback audits.
- By David Kopf
- Mar 14, 2019
In the third of a four-part series, HME industry legal expert Jeffrey S. Baird discusses the remaining key contract provisions and how HME providers can properly gain access to another provider's third-party payer contract.
- By Jeffrey S. Baird
- Mar 07, 2019
In the second of a four-part series, HME industry legal expert Jeffrey S. Baird continues his examination of the key contract provisions related to Medicaid Managed Care Plans.
- By Jeffrey S. Baird
- Mar 01, 2019
The latest edition of the recently launched industry news service meets with Brown & Fortunato's Jeffery Baird to examine managed care and Essentially Women's Nikki Jensen to discuss health opportunities.
- By David Kopf
- Mar 01, 2019