Funding


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.

More than 40% of Providers Abandoned Medicare Since July 2013

AAHomecare study of Medicare data also shows number of unique locations dropped by 38.7% during the same period.  

Five Tips for Improving Patient Billing

Strategic approaches to improve billing efficiencies, sharpen staff effectiveness, and strengthen patient relationships.

AAHomecare Fights 'Double Dip' O2 Cuts

Association continues efforts to get non-bid providers relief from extra-low reimbursement for stationary oxygen.

Medicare Advantage Care Differs by Race, Sex

Health care experiences and clinical care varies between women and men, as well for racial and ethnic groups according to new CMS report.

Industry Newsmaker

The Inevitable Shift to Value

CareCentrix CEO explains why fee for service will soon be a thing of post-acute care’s past.

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.

N.Y. Incontinence Rate Change Pushed to May

Originally slated to go into effect April 3, implementation of rate cuts will go into effect May 17.



respiratory audits under a microscope

Business Solutions

Respiratory Audits: Under the Microscope

As the new RAC comes online, and as the 2017 HHS OIG Workplan is in effect, what can respiratory providers expect in terms of audits, and how should they respond?

Providers Sound Off of CURES Act Call

HME stakeholders share their stories of how bid expansion has impacted their businesses and patients on CMS call; providers can still submit feedback via email.

Respiratory Industry Fights CPAP Bundling

Providers, AAHomecare, VGM, vendors, other stakeholders form unified front against CMS’s plan for bundled pricing for CPAPs and supplies.

CMS Slates Second Prior Auth. Special ODF

Second Open Door Forum will take place on March 21 and provides forum for additional discussion on prior authorization for K0856 and K0861.

Verma Takes Helm of CMS

After Senate votes 55-43 to approve Seema Verma as CMS Administrator, she takes first joint action with HHS Secretary Price.

CMS Slates Prior Authorization Call

March 16 Open Door Forum will focus on prior authorization process for power wheelchairs.

NY Providers Reduce Incontinence Cuts

NEMEP, AAHomecare advocacy effort leads N.Y. Dept. of Health to limit its reimbursement cuts.

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