Funding


NEMEP Taking Registrations for Virtual Conference

March 23-25 event for N.Y. and N.J. providers offers a variety of conference sessions across multiple tracks and includes CEU opportunities as well.

lungs

Breathe Easy?

COVID-19 has strained America’s oxygen infrastructure like nothing before. What factors are impacting supply and demand, and how are stakeholders responding? What other factors are impacting the oxygen market at the same time?

New Prochant Site Emphasizes Online Resources 

Company that offers reimbursement, financial and revenue cycle management solutions for HME providers and pharmacies rolls out a new site designed to help them find solutions faster.

Blackburn Aims to Protect Tennessee's Medicaid Block Grant

After CMS recently approved block grants for Medicaid, the Biden administration made announcements that could jeopardize the waivers. Measure introduced by Sen. Blackburn would protect TennCare's recently acquired block grant waiver.

Industry Joins Effort to Extend Medicare Rate Relief

As Congress negotiates COVID-19 relief, AAHomecare backs push urging Congressional leaders to include H.R. 315 in their legislation, which would extend the Medicare sequester moratorium through the PHE.

PRF Payments Applicable to Lost Revenue Based on Formal Budgets

The latest HRSA guidance marks the fourth revision to lost revenue calculations for PRF reporting. How has it evolved and what do providers need to know?

Editor's Note

The Industry That Could

HME providers have demonstrated their crucial role in American healthcare during COVID-19.

CMS Rolls Out New Location Inspection Procedure

Procedure is aimed at ensuring DMEPOS supplier locations are open and available for in-person inspections during COVID-19 Public Health Emergency.

Recent Law Hampers Provider Relief Portal Launch

While providers can register on the PRF portal, reporting requirements remain unavailable. Also providers should have key information on-hand, otherwise the registration process could time out on them.

CMS Releases Round 2021 Bid Data

The Round 2021 bids show increases for lead items in most areas compared to the 2020 fee schedule, while bids for non-lead items show mixed results. CMS opted not to award contracts for 13 categories in late October.



AAHomecare Surveying Supplier Costs

Effort aims to track how suppliers’ costs have changed during events such as COVID-19, which is important given that DMEPOS rates are essentially frozen at 2016 levels. Deadline is Feb. 5.

CMS Gives TennCare More Flexibility in Serving Beneficiaries

Under the new “block grant” waiver, the Tennessee Medicaid program will be able to service patients with less federal oversight. CMS approved the waiver for 10 years.

VGM Conducts New Delivery Cost Survey

A follow-up to its 2018 effort, the survey helps tabulate the cost of provisioning HME products and services. This new effort aims at understanding how COVID-19 has changed that cost structure.

UnitedHealthcare Extends COVID-19 Prior Auth. Suspensions

The extension pushes the previous expiration date from Jan. 8 to Jan. 31 and United noted that it includes oxygen can be delivered without prior authorization.

AAHomecare Submits Comments on DMEPOS Proposed Rule

Association suggested various alterations to the proposed rule released in November, including how rates for former CBAs and non-rural non-CBAs should be calculated.

Congress Upvotes COVID-19 Bill

House and Senate overwhelmingly voted to pass the second relief package of the year, which includes two key HME industry provisions.

Apria Settles $40.5M Whistleblower Case

U.S. Attorney’s suit alleged that the national provider continued to bill for non-invasive ventilators when it did not know if beneficiaries were using the devices.

AAHomecare: Contact Your Senators Right Away

The association is urging HME stakeholders to tell their Senators this week to extend the pause the CARES Act placed on Medicare’s longstanding 2 percent sequestration cut.

CMS Releases 2021 Fee Schedule

While there are some slight ups and downs, analysis from AAHomecare shows next year’s DMEPOS fee schedule aligns with expectations and reflects the changes made due to COVID-19.

Some Senate Republicans Unsure on Sequester Extension

Providers urged to call on GOP Senators to extend the pause on 2% sequester cuts through the duration of the public health emergency.

Managing the Digital Patient Experience podcast with Nupura Kolwalkar