Funding


ALJ Appeals Backlog Continues Decline

OMHA reports to AAHomecare that within a year, the number of pending DMEPOS appeals fell by 51 percent.

AAHomecare: DMEPOS Needs Priority Vaccine Distribution Status

Association urges various federal officials that Phase 1 Distribution of a COVID-19 vaccine must include DMEPOS suppliers because of their close contact with patients.

AAHomecare Asks DOD for Support on TRICARE Claims

TRICARE West contractor HNFS is not reimbursing claims per the CARES Act rates. AAHomecare is urging providers to support a letter campaign.

CMS’s Round 2021 Announcement: It’s a Win

The decision to punt on 13 categories might leave some providers feeling a little in Limbo, but AAHomecare’s Tom Ryan stresses the industry should notch this as a ‘W.’ That said, some rough edges remain and there’s still work to do.

CMS Releases Proposed DMEPOS Payment Rule

Proposed rule covers various provisions, including continuing rural relief and removing manual CRT wheelchairs and accessories from bidding. Public comments will be due Jan. 3.

CMS Skips Round 2021 Contracts for 13 Categories

Agency only awards contracts for off-the-shelf back and knees braces, leaving the industry guessing on the exact fate of nearly all remaining categories.

CMS Meeting Offers Audits Update

Virtual edition of Provider Compliance Focus Group shared information on TPE audits and recommendations it made to the DME MACs.

CMS Extends AAP Program Repayments

Providers that received payments from the Accelerated and Advance Payment program now have significantly longer to repay their loans.

Annual Advisory Board Roundtable

COVID-19’s Tectonic Legal Shifts for HME

Legal expert Jeffery Baird discusses how the Public Health Emergency has already changed the legal landscape, and what else might be in store for HME providers.

HHS to Extend COVID-19 PHE Another 90 Days

Effective Oct. 23, the renewal keeps several key regulatory relaxations and relief policies and programs in place.



Next $20 Billion in Provider Relief Comes into Focus

HHS is now taking applications for Phase 3 of the Provider Relief Fund, but the process requires providers to share more details on revenue and expenses from patient care.

Observation Deck

Return of the Audits

CMS's announcement that audits would resume Aug. 3 was a shock. Then CMS said it would phase audits back in. What are the details?

HHS to Open Aid Reporting Portal

Providers that received more than $10,000 from the Provider Relief Fund will have to report to the agency via a portal by Feb. 15.

Industry Continues Driving for H.R. 2771 Support

Advocates have convinced 81 lawmakers to back a bill extending rural and non-bid area relief, as well as protecting oxygen funding, but are calling on providers to help get more.

Surgical Dressing and Knee Orthosis Codes Could See Post-Pay Reviews

The review from CGS is the result of errors and high payouts for four codes, and should impact claims filed prior to the COVID-19 PHE.

Medicare Claims Audits: They’re Ba-aack

Audit expert Wayne van Halem joins the HME Business podcast to discuss how CMS will phase its audits back in, and how providers should prepare.

New Bill Aims to Fix Rural Oxygen Payment Disparity

H.R. 8158 would address the fact that rates for oxygen concentrators in some rural areas are significantly lower than rates in competitive bidding areas.

Providers Urged to Help Drive H.R. 2771 Support

Bill that would extend rural and non-bid area relief, as well as protect oxygen funding, currently sits at 79 co-sponsors — and needs more.

Signature Deadline for House CRT Letter Pushed to Sept. 18

Providers called on to redouble efforts to get their Representatives to sign Congressional letter urging CMS to stop basing reimbursement for manual CRT accessories on competitive bidding rates.

AAHomecare Presses Anthem on Rates

After insurer cut reimbursement in July despite COVID-19 costs, HME association highlighted the disparity between Anthem’s funding and Medicare’s rates for HME during the health emergency.

HME Business Podcast