Funding


Covid-19 PHE Ending on May 11

Biden Administration announces an end to the public health emergency that goes beyond its current April 11 cut-off.

Virginia Legislation Would Boost Medicaid Reimbursements

A pair of legislative efforts would raise Medicaid reimbursements in the state and authorize Medicaid coverage of CRT wheelchairs for patients living in nursing facilities.

ALJ Overturns Disputed Claims Against VieMed

An ALJ has overturned all disputed claims from a 2021 HHS OIG report, and Medicare Administrative Contractors have returned 100 percent of the recouped funds to the provider.

DoD Awards TRICARE Managed Care Contracts for 2024

A total of $136 Billion in TRICARE Managed Care Support Contracts will be split between two major health contractors.

Industry Roundtable

A Look Ahead

Experts discuss key trends, challenges and opportunities that will impact HME providers and how those businesses can respond to them.

AAHomecare Sets its 2023 Policy Objectives

The association’s Federal policy agenda includes further extending the 75/25 blended rates, advancing the 90/10 blended rates in CBAs, and more.

Podcast

Medicare Advantage Audits’ Impact on HME Providers

CMS has intensified its scrutiny of Medicare Advantage health plans, and in turn those plans are auditing HME businesses. How should providers respond?

HHS Extends Covid-19 PHE Another 90 Days

The public health emergency’s reimbursement and regulatory policies impacting HME providers will continue until April 12.

N.Y. DME Owner Arrested for $17 Million Conspiracy

DOJ apprehends a New York woman for allegedly offering and paying illegal health care kickbacks for false orthotic braces and continuous glucose monitors claims, as well as money laundering.

House Passes $1.7 Trillion Spending Package

The year-end bill to fund the government includes key HME reimbursement provisions. The legislation now goes to the Pres. Biden to be signed into law.



Draft Spending Bill Includes DME Provisions

As Congress now moves vote on the year-end budget package, the legislation includes language concerning key HME reimbursement objectives.

AAHomecare Releases Fee Schedule Analysis

Association tabulates average rate increase for the top 25 DME items impacted by CMS’s recently announced 2023 fee schedule.

CMS Releases 2023 DMEPOS Fee Schedule

The new schedule reflects the 6.4% to 9.1% CPI-U and bidding-related adjustments CMS released on Dec. 1.

AAHomecare: Keep Up the Pressure

With the clock ticking, association urges HME providers to tell their Senators and Representatives to include critical DME reimbursement provisions in any year-end omnibus spending legislation.

AAHomecare Analyzes CMS’s New Oxygen LCD

AAHomecare provides a point-by-point breakdown of the new LCD, which goes into effect Jan. 1, 2023.

CMS Makes Sizable CPI-U Rate Adjustments for DME

The 6.4% to 9.1% increases are much larger than typical CPI-U modifications and should help providers contend with costs. However, advocates say more needs to be done.

House Passes the Lymphedema Treatment Act

The legislation would require CMS to reimburse the cost of compression garments needed for ongoing lymphedema treatment.

Providers Urged to Help End-of-Year DME Reimbursement Relief

AAHomecare calls on HME providers to tell their Senators and Representatives to include two key DME reimbursement provisions in any year-end omnibus spending legislation.

CMS Publishes Post-PHE Audit Guidance

In the first guidance on how it will handle audits after the Covid-19 public health emergency, CMS offers clarifications on dates of service and the nature of the audits.

Business Solutions

Outsourced Billing: Taking a Second Look

The forces pushing providers to reexamine RCM services, and how providers can integrate outsourced billing into their businesses.

HME Business Podcast