Analysis from AAHomecare shows a large portion of the bids were for the 13 removed categories and came from first-time bidders.
- By David Kopf
- May 27, 2021
Legislation preventing insurers, MCOs and other payers from capping reimbursement for ventilators moves to Senate.
Podcast
As the industry rounds the bend out of COVID, HME providers can expect more patient demand and a broader set of needs from their clients and referral partners. Are they ready?
- By David Kopf
- May 20, 2021
A new study shows Medicare Advantage now accounts for 42 percent of all Medicare beneficiaries, with 26 million individuals enrolled in the program.
Association outlines how HME industry can capitalize on an ‘unprecedented opportunity’ to obtain meaningful reimbursement adjustments.
The certification means that the company’s RCM system for HME providers and pharmacies meets a broad range of government regulations and industry standards for information security.
News Feature
AAHomecare advocacy efforts have resulted in policy and regulatory wins that have driven more than $2 billion back to HME providers’ budgets. How does the association plan to build on those wins?
- By David Kopf
- Apr 29, 2021
The public health emergency, as well as the regulatory relaxations associated with it, will continue for another 90 days.
The legislative efforts seek to protect state reimbursement rates and patient access for HME by blocking moves to privatize state Medicaid programs.
The moratorium on the 2% Medicare sequestration reimbursement cut now lasts until Dec. 31.
Several months ago CMS threatened it would resume its claims audits. Now that is happening and audit expert Wayne van Halem provides the details on what’s happening and what providers need to know.
- By David Kopf
- Apr 07, 2021
While the extended moratorium on the 2% cuts officially ends April 1, CMS will continue holding off on applying them while Congress finishes related legislative action.
The compromise legislation extends the moratorium until the end of the year. It now moves to the House for passage and then President Biden's office to be signed into law.
Besides adding $650 million in reimbursements for oxygen suppliers over the next 10 years, the recent win should pay other dividends industry advocates say.
Starting April 1, the new rates don’t apply budget neutrality, resulting in an increase in reimbursement for oxygen products nationwide.
Billing
Why outsourcing your HME prior authorization service is important in 2021?
- By Ronnie Hastings
- Mar 15, 2021
With Medicare’s moratorium set to expire soon, AAHomecare and other advocates are reaching out to lawmakers to extend the suspension of the cuts until the end of 2021.
Legal Analysis
In transitioning from fee-for-service payment to value-based care, the new model has run up against the federal physician self-referral law and the federal anti-kickback statute, which have both seen modifications as a result. There is a lot that providers need to understand, so here's a deep dive into the topic.
- By Jeffrey S. Baird
- Mar 11, 2021
Citing errors in the December 2020 schedule, this new release includes adjustments to more than 900 HCPCS codes.
March 23-25 event for N.Y. and N.J. providers offers a variety of conference sessions across multiple tracks and includes CEU opportunities as well.