Funding


AAHomecare Providers Educate DME MAC, PDAC Staff

ATPs, manufacturer reps aimed to help staffers better understand mobility devices in order to minimize confusion and smooth claims and coding for devices.

Many HME Categories Still See High Overturn Rates

Latest Audit Key survey shows continued appeal determinations in favor of providers for several mainstay offerings.

TRICARE to Comply with CURES Act

Letters from military insurance program indicate it will work with providers to adjust past claims to align with CURES reimbursement rates.

AAHomecare Prioritizes Payer Relations

Association elevates Laura Williard as vice president of payer relations, enhances relations with various payers beyond Medicare

The TRICARE Question

TRICARE and other payers that tie their rates to Medicare have yet to adjust reimbursement per the CURES Act. What’s being done to change that?

California Respiratory Provider Catches a Break on Audits

Home Oxygen Company’s president shares how her oxygen and sleep business earned a reprieve on CPAP and O2 audits.

VGM Adds Payer, Member Relations VP

Previously with HOMELINK, Craig Douglas will help VGM members navigate payer, managed care.

Provider Strategy

5 Tips for Boosting Patient Billing

Improve billing efficiencies, staff effectiveness, patient relationships.

Editor's Note

The Next Cut

What happens when the next reimbursement cut comes? And the next? Providers must think longer term when it comes to their relationship with Medicare.

CareCentrix, Performant to Cut DME ‘Waste, Fraud, Abuse’

Home healthcare management company identifies DME as “high risk areas.”



SBA, CMS Reps Slated for Heartland Panel

Discussion will touch on the future of competitive bidding, and resources available to small businesses.

RAC Reviews Underpayments Made on Group 3 Wheelchair Options

Effort by van Halem Group will see RAC recover incorrect reductions owed to suppliers

Blackburn Re-Introduces Prior Authorization Legislation

Bill aims to cut audit burden by requiring prior authorization for higher priced DME items.

Georgia’s DME Licensure Bill Becomes Law

Years-long advocacy, legislative effort culminates with Gov. Nathan Deal signing SB41 into law.

AAHomecare Digs Deeper Into CMS’s Rural Rate Plan

Association research further shows how CMS’s newly implemented rates will hurt providers in rural and non-bid areas.

CMS Proceeds with Controversial Rural Rate Plan

Plan defies intent of CURES Act; AAHomecare head Ryan calls it a "slap in the face" for industry and lawmakers

John Driscoll

People in HME: Industry Newsmaker

The Inevitable Shift to Value

CareCentrix CEO explains why fee for service will soon be a thing of post-acute care's past.

Editor's Note

HME's Giant Steps

Diversifying your business requires reliable information -- and sometimes a leap of faith.

CMS Eases Adjudication Process for Serial Claims

DME MACs will change appeals of recurring claims for capped rental items and certain inexpensive and routinely-purchased items.

More than 40% of Providers Have Abandoned Medicare Since July 2013

AAHomecare study of Medicare data also shows number of unique locations dropped by 38.7% during the same period.  

podcast on ways to expand resupply

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