Funding


Oklahoma Supreme Court Puts Brakes on MCO Plan

State’s top court rules the state’s Oklahoma Health Care Authority cannot implement managed care for its Medicaid program.

Louisiana Senate Upvotes Ventilator Protections

A unanimous vote approves legislation that prevents insurers, MCOs and other payers from capping reimbursement for ventilators.

MACs’ Post-payment Review Broadened

MACs may now conduct post-payment medical reviews of items and services with dates of service after March 2020.

CMS Releases More Details on Round 2021 Bids

Analysis from AAHomecare shows a large portion of the bids were for the 13 removed categories and came from first-time bidders.

AAHomecare Prioritizes Extending Rural and Non-CBA Relief

The CARES Act’s reimbursement provisions helped rural suppliers and those in other non-bid areas, but they expired when the COVID-19 public health emergency ends.

FAHCS, ACMESA Open Registration for Summer Meetings

The Florida event will run Aug. 5-6 in Orlando, and the North Carolina event will be held Aug. 18-19 in Wrightsville Beach.

VGM Govt. Relations: Engage Lawmakers at Townhalls

Members of the House will be in districts until June 14, giving HME stakeholders an opportunity to advocate during Representatives’ constituent meetings.

NCART Pushes to Extend Telehealth for CRT

Association calls on CRT stakeholders to advocate on behalf of a bill that would expand telehealth access, as well as to complete a survey on examples of telehealth in CRT.

Medicare Advantage Enrollment Doubled in Past Decade

A new study shows Medicare Advantage now accounts for 42 percent of all Medicare beneficiaries, with 26 million individuals enrolled in the program.

Louisiana House Passes Ventilator Protections

Legislation preventing insurers, MCOs and other payers from capping reimbursement for ventilators moves to Senate.



Podcast

The Rise of the Value-Based HME

As the industry rounds the bend out of COVID, HME providers can expect more patient demand and a broader set of needs from their clients and referral partners. Are they ready?

AAHomecare Ranks Medicare Reimbursement Priorities

Association outlines how HME industry can capitalize on an ‘unprecedented opportunity’ to obtain meaningful reimbursement adjustments.

Prochant Achieves HITRUST CSF Certification

The certification means that the company’s RCM system for HME providers and pharmacies meets a broad range of government regulations and industry standards for information security. 

News Feature

HME’s Bottom Line Success

AAHomecare advocacy efforts have resulted in policy and regulatory wins that have driven more than $2 billion back to HME providers’ budgets. How does the association plan to build on those wins?

HHS Extends COVID-19 PHE

The public health emergency, as well as the regulatory relaxations associated with it, will continue for another 90 days.

Fla., Okla., N.Y. Associations Seek Support on Legislation

The legislative efforts seek to protect state reimbursement rates and patient access for HME by blocking moves to privatize state Medicaid programs.

Medicare Sequestration Bill Now Law

The moratorium on the 2% Medicare sequestration reimbursement cut now lasts until Dec. 31.

The Return of Medicare Claims Audits

Several months ago CMS threatened it would resume its claims audits. Now that is happening and audit expert Wayne van Halem provides the details on what’s happening and what providers need to know.

CMS Temporarily Holds Applying Sequester Cuts

While the extended moratorium on the 2% cuts officially ends April 1, CMS will continue holding off on applying them while Congress finishes related legislative action.

Senate Votes to Extend Pause on Sequester Cuts

The compromise legislation extends the moratorium until the end of the year. It now moves to the House for passage and then President Biden's office to be signed into law.

Podcast: 5 Referral Sales Challenges Facing HMEs Right Now