Audits


Most PAP Resupply Claims Don’t Pass Medicare Muster

New report from HHS OIG says claims for replacement positive airway pressure device supplies didn’t comply with Medicare’s requirements.

Jurisdiction D Releases TPE Error Rates

Enteral Nutrition tops the list in data gleaned from Fourth Quarter 2017 Targeted Probe and Educate audits.

Home Oxygen Company Earns CPAP Audit Reprieve

Audit contractor Noridian tells provider it has closed its audit file thanks to it squeaky-clean performance in Round 1 of the Targeted Probe and Education Audit process

CMS to Join Heartland Panel Discussion

Attendees to VGM event will be able to discuss regulations, reimbursements and audits with CMS representatives.

AuditKey Offers Sneak Peak at Benchmarking Report

Prototype of the audit survey data shows a variety of ways providers can compare their audit performance to the industry.

Next Round of HME Audit Key Submissions Starts Jan. 15

Industry audit survey will go from quarterly to half-year reports, includes new report benefit.

Problem Solvers

Oxygen Audits in the New Year

What can respiratory providers expect from a new audit program during 2018, as well as respiratory audits carrying over from last year?

Oxygen Audit Outlook: TPE Audits

Audit expert Wayne van Halem explains why respiratory providers need to pay close attention to Medicare's new TPE audits.



DMEPOS Accounts for Half of ALJ Appeals

The number of audit appeal being escalated to ALJs has skyrocketed over the past fiscal year, with DMEPOS claims taking up the lion’s share.

71% of MAC Prepayment Audits Paid After Review

Second Quarter Audit Key survey releases several significant findings related to Medicare claims audits.

Medtrade Session Offers Some Good News About Audits

Oct. 24 presentation from van Halem Group duo will examine the ways in which CMS is changing the way CMS is performing some audits -- some for the better.

Audit Key Survey Deadline Extended to Sept. 11 

Brightree Report is now available for the second quarter 2017 Audit Key data submissions.

VGM, HIPAAwise Partner for Online Compliance Program

VGM’s van Halem Group will work with maker of HIPAA software to offer HME providers a custom HIPAA-compliance program.

Second Quarter Audit Key Deadline Extended to Aug. 25

AAHomecare reminds providers that the survey doesn’t require individual claims data, but rather cumulative totals on specific audit metrics.

Many HME Categories Still See High Overturn Rates

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

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.

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

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

RAC Reviews Underpayments Made on Group 3 Wheelchair Options

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

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.

Next Round of Audit Key Submissions Starts April 17

Tool helps industry collect audit data in order to help make its case for reforming CMS’s audit program; now easier for Brightree users.

Subscribe to e-Source

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

I agree to this site's Privacy Policy