Funding


HCPCS Codes Impacted by CURES Medicaid Limits Updated

AAHomecare records 244 reimbursement codes now subject to Medicaid reimbursement limits per the CURES Act.

HME Legal Expert Passes Away

Civil liberties leader and healthcare law specialist Neil Caesar succumbs to complications related to long-term illness.

Whitehouse Budget Includes HME Proposals

Budget package proposes policy changes such as competitive bidding revisions and eliminating face-to-face requirements.

AuditKey Offers Sneak Peak at Benchmarking Report

Prototype of the audit survey data shows a variety of ways providers can compare their audit performance to the industry.

CMS Relaxes Timetable for CURES Changes

CMS has backed off from its Dec. 31, 2017 deadline and stated it will work with state Medicaid programs on their compliance, reimbursement plans.

Next Round of HME Audit Key Submissions Starts Jan. 15

Industry audit survey will go from quarterly to half-year reports, includes new report benefit.

Problem Solvers

Oxygen Audits in the New Year

What can respiratory providers expect from a new audit program during 2018, as well as respiratory audits carrying over from last year?

HME Big Ten

Falling into Place

Our annual BIG 10 list yields both new and maturing trends that will shape HME’s strategic landscape for 2018. Trends include protecting rural access, remote monitoring, accreditation renewal, billing non-assigned, and distributed provider operations.



CMS Release First CURES-Related Medicaid Update

A State Operational Technical Advisory call discussed tool for comparing Medicare and Medicaid rates and explained reporting process.

Rehab Medical Revamps Its Website

Site redesign aims to help patients through insurance process as it relates to complex rehab.

Oxygen Audit Outlook: TPE Audits

Audit expert Wayne van Halem explains why respiratory providers need to pay close attention to Medicare's new TPE audits.

DMEPOS Accounts for Half of ALJ Appeals

The number of audit appeal being escalated to ALJs has skyrocketed over the past fiscal year, with DMEPOS claims taking up the lion’s share.

71% of MAC Prepayment Audits Paid After Review

Second Quarter Audit Key survey releases several significant findings related to Medicare claims audits.

Medtrade Session Offers Some Good News About Audits

Oct. 24 presentation from van Halem Group duo will examine the ways in which CMS is changing the way CMS is performing some audits -- some for the better.

CMS Drops a Sneak Peak of New Medicare Cards

New cards comply with laws aiming to protect private information of Medicare beneficiaries through new ID numbers.

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