Funding


CMS Meeting Offers Audits Update

Virtual edition of Provider Compliance Focus Group shared information on TPE audits and recommendations it made to the DME MACs.

CMS Extends AAP Program Repayments

Providers that received payments from the Accelerated and Advance Payment program now have significantly longer to repay their loans.

Annual Advisory Board Roundtable

COVID-19’s Tectonic Legal Shifts for HME

Legal expert Jeffery Baird discusses how the Public Health Emergency has already changed the legal landscape, and what else might be in store for HME providers.

HHS to Extend COVID-19 PHE Another 90 Days

Effective Oct. 23, the renewal keeps several key regulatory relaxations and relief policies and programs in place.

Next $20 Billion in Provider Relief Comes into Focus

HHS is now taking applications for Phase 3 of the Provider Relief Fund, but the process requires providers to share more details on revenue and expenses from patient care.

Observation Deck

Return of the Audits

CMS's announcement that audits would resume Aug. 3 was a shock. Then CMS said it would phase audits back in. What are the details?

HHS to Open Aid Reporting Portal

Providers that received more than $10,000 from the Provider Relief Fund will have to report to the agency via a portal by Feb. 15.

Industry Continues Driving for H.R. 2771 Support

Advocates have convinced 81 lawmakers to back a bill extending rural and non-bid area relief, as well as protecting oxygen funding, but are calling on providers to help get more.

Surgical Dressing and Knee Orthosis Codes Could See Post-Pay Reviews

The review from CGS is the result of errors and high payouts for four codes, and should impact claims filed prior to the COVID-19 PHE.

Medicare Claims Audits: They’re Ba-aack

Audit expert Wayne van Halem joins the HME Business podcast to discuss how CMS will phase its audits back in, and how providers should prepare.



New Bill Aims to Fix Rural Oxygen Payment Disparity

H.R. 8158 would address the fact that rates for oxygen concentrators in some rural areas are significantly lower than rates in competitive bidding areas.

Providers Urged to Help Drive H.R. 2771 Support

Bill that would extend rural and non-bid area relief, as well as protect oxygen funding, currently sits at 79 co-sponsors — and needs more.

Signature Deadline for House CRT Letter Pushed to Sept. 18

Providers called on to redouble efforts to get their Representatives to sign Congressional letter urging CMS to stop basing reimbursement for manual CRT accessories on competitive bidding rates.

AAHomecare Presses Anthem on Rates

After insurer cut reimbursement in July despite COVID-19 costs, HME association highlighted the disparity between Anthem’s funding and Medicare’s rates for HME during the health emergency.

UHC Fixes Uninsured Patient Funding Problem

A system error that was rejecting DME claims for uninsured patients under the CARES Act has been addressed.

HSS Pushes Provider Relief Application to Sept. 13

Agency extends the application deadline for Phase 2 General Distribution after expanding eligibility for the funds.

Joining the Fight to Protect Manual CRT Users

NCART's Don Clayback joins the HMEB Podcast to explain how providers can quickly and easily help protect funding for manual CRT accessories by convincing their lawmakers to sign a letter to CMS before the deadline.

Funding

Knowing the Latest Relief Details

More specifics have emerged on expanded Phase 2 of CARES provider relief. Make sure you know the options available to you.

Observation Deck

Return of the Audits

The news that CMS planned to resume audits by Aug. 3 took many by surprise. Then CMS said it would resume audits in a phased approach. What are the details and what can providers expect?

AAHomecare Rounds up Industry Issues in Play

While COVID-19 is at the fore of the industry’s mind, the next four months offer the industry to notch some policy wins on non-bid area rates, taxes on Cares relief, and CRT accessories

HME Business Podcast