Audits


Provider Strategy

The RAC is BACK

New changes to the RAC program will start this month. What does that mean for providers?

Q4 Audit Survey Starts Jan. 16

HME Audit Key program urges providers to submit their audit data for Q4 2016; program helps industry better understand audits and advocate reforms.

Medicare Claims: Minimizing Your Audit Exposure

DME Pharmacy

Medicare Claims: Minimizing Your Audit Exposure

Pharmacies selling Medicare reimbursable DME items will eventually be audited. We examine how to protect your claims and how documentation helps minimize your risk of having a claim recouped.

HHS OIG Unveils 2017 Work Plan

The plan includes 10 DMEPOS-related investigations, including reports on nebulizers, power wheelchairs, and PAP therapy devices.

Third Audit Key Survey Opens October 15

Providers urged to add their audit data to help demonstrate audit program’s burdensome nature.

Problem Solvers

RAC Audits Version 2: Time to Prepare

As new RAC auditors are coming on board, the instances of RAC audits will increase. Providers must have their ducks in a row.

Future of HME

Business Solutions

Paving HME's Path

Each fall we turn to the members of HMEB's editorial advisory board to gain their insights into the trends, obstacles, challenges and opportunities that providers should consider as they shape their business strategies for the next several months. This year, many of the board members are telling us that the future will likely be what providers make of it.

Audit Denials Increased 6% from Q4 2015 to Q2 2016

Latest HME Audit Key report shows increase audit activity; AAHomecare urges providers to share their data.



AAHomecare Continues Call for Provider Data

Providers urged to participate in the DME Cost Study and 2Q Audit Key survey to bolster industry’s case for bidding, audit reforms.

Providers Need to Learn About Key Audit Changes

Webinar from senior Van Halem Group expert Kelly Grahovac to identify new audit trends, and explain how providers should prepare.

Audit Key: MAC Prepayment Audits Averaged 12% for New Patients

First round of data from Fourth Quarter of 2015 yield a variety of results that take first step in documenting impact of audits on HME providers, patients.

Accreditation and Audits

Two accreditation experts discuss the relationship between accreditation and audits.

Observation Deck

A Big Year for Audit Contractors

Providers will interact with a variety of Medicare audit contractors in 2016.

Audits

Business Solutions

Keeping Watch on Audits

Audits continue to play an unsavory role in the day-today lives of HME providers, and that role is one that is constantly shifting as HHS and its contractors emphasize different aspects of their program integrity efforts. We look at coming and developing trends in audits, and ask the experts how providers should plan and prepare.

Audit Key’s Date for Entering First Quarter Data Fast Approaching

Providers can submit their information into the special audit tracking program starting on April 15.

Editor's Note

More of a Bad Thing

The President's proposed 2017 budget doubles down on the wrong ideas.

AAHomecare to Detail Legislative, Regulatory Priorities

National HME association will outline its key advocacy objectives for the year at Medtrade Spring’s Washington Update.

Audit Key Extends Entry Deadline

Providers have until Feb. 26 to enter their fourth quarter audit data into the industry audit-tracking site.

Medicare Releases Final Rule on Overpayments

Rule clarifies when providers must report and return self‑identified overpayments.

Audit Key Goes Live

Providers urged to register for program that is collecting the hard data that will help make a strong case for reforming CMS’s audit program.

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.

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