Funding


HMEB Podcast: Zip Code Changes and CRT Opportunities

Episode 010 of the HME Business talks to experts about funding implications of CMS’s reclassification of multiple rural and non-bid zip codes, as well as sales opportunities for HME providers in the CRT market.

RAC Approved to Audit Diabetes Test Strips

Performant will only review HCPCS code A4253 and claims paid date must be within three years before the Additional Documentation Request.

Non-Invasive Vent Letter Launched in Senate

Newly unveiled companion to House letter calls on CMS and HHS to pull back from including non-invasive vents in competitive bidding. Providers urged to enlist their Senators’ support.

CMS Opens Round 2021 Registration

Authorized officials have 14 days to get in DBIdS and Connexion, backup authorized officials have 21 days, and the registration window closes completely in 67 days.

Zip Code Changes Impact HMEs

CMS has changed zip code designation for various areas which has in turned changed the reimbursement rates for providers in those areas.

Mass. HME Provider Tightens Focus on Hospice Market

Mass Bay Respiratory has rebranded as Mass Bay Medical Supplies to reach hospice patients, families and caregivers with an array of hospice-oriented products and services.

Round 2021 Education Site Offers 3 New Resources

Round 2021 Education Site Offers 3 New Resources

The Dmecbpeducation.com site unveils new video tutorials, a webinar recording, an improved FAQ to help providers better prepare their Round 2021 bids.

VGM Offers Expanded Bid Calculators

Newly revised bidding calculators let HME providers enter their own book of business to see how bids under lead item pricing would impact their business.

Podcast Focuses on CRT and Sleep

Latest edition of the HME Business Podcast examines increasing adoption, funding of iLevel, steps providers can take to improve sleep therapy compliance.

Wayne van Halem

Provider Strategy

A Scary New Trend: Six-Year Lookback Audits

Understanding another 'new normal' for HMEs from HHS OIG.



CMS Slates Prior Authorization Call

July 11 conference call will address the prior authorization process for pressure reducing support surfaces.

CMS Adds More Round 2021 Webinars

Two webcasts for June will offer a two-part discussion of registering and submitting bids in Round 2021.

Home Oxygen Company Earns Audit Reprieve

California respiratory and sleep provider notches its fourth 12-month break from TPE audits.

Providers Prep for Round 2021 Bidding Summit

Attendees to June 5 Competitive Bidding Summit to learn more about Round 2021 and how to bid under lead item pricing.

Industry Hits Capitol Hill with Full Agenda

AAHomecare facilitates in-person meetings between lawmakers and industry advocates in Washington, D.C.; coordinates virtual fly-in for providers to remotely assist lobbying push.

Bidding, Oxygen Reform Bill Hits House

New legislation would provide permanent rural and non-bid area relief and eliminate the oxygen budget neutrality requirement.

UHC: No Change in Sleep Reimbursement Policies

A CPAP code was incorrectly added to an earlier policy update; AAHomecare seeking clarification on reprocessing any denied claims.

CMS Call to Cover Prior Auth., Round 2021

May 15 Open Door Forum will address CMS’s addition of 12 more items to prior authorization, as well as the next round of completive bidding.

CMS Unveils Round 2021 Timeline

Registration starts June 10 and the bid window opens on July 16 for the next iteration of the competitive bidding program, which includes significant changes such as lead item pricing and bid surety bonds.

Operation Brace Yourself Notches First Sentencing

Georgia DME CEO sentenced to more than three years plus fines and restitution for involvement in history-making Medicare fraud.

HME Business Podcast

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