Legislative


Report: Medicare Overpaid for PMD Repairs

Based on a sampling of claims, an HHS OIG report estimates that Medicare improperly paid for $8 million in power mobility device repairs.

Industry Remembers Sheldon ‘Shelly’ Prial

The well-known pharmacist and home health dealer who tirelessly advocated for the industry well past retirement age has passed away.

Breastfeeding Coalition Calls for Increased Reimbursement

As the price for hard-to-find formula skyrockets, the AAHomecare group calls on private payer insurance and Medicaid programs to increase coverage for breast pumps and supplies.

AAHomecare Elects New Officers and Board Members

The national association re-elected Apria’s Guidetti as chair as well as Medical Service Company’s Marx as vice-chair and Pride Mobility’s Johnson as secretary. Six others were also elected to the board.

AAHomecare Creates Incontinence Advocacy Resources

Letter and infographic are designed to help HME advocates engage Medicaid programs on the challenges facing patients’ access to incontinence supplies.

Legal

2022 HME Business Handbook: Legal

How To Work With Physicians and Other Referral Sources

AAHomecare Hits Capitol Hill for H.R. 6641

AAHomecare leadership met with various lawmakers on behalf of legislation that would adjust reimbursements in former CBAs via a 90/10 blended rate.

Registration Open for HOMES 2022 Annual Meeting

The New England provider event will run May 17-18 and offers a variety of educational sessions and roundtables.

NCART, NRRTS Slate Virtual Fly-in

The Sept. 14 will let complex rehab stakeholders discuss issues impacting care access with their members of Congress and staff.

Key Committees Reviewing N.Y. Rate Floor Bills

As the Assembly Ways & Means Committee and the Senate Finance Committee review companion bills, Empire State providers are urged to support the legislation.



Observation Deck

H.R. 6641’s Reimbursement Ripple Effect

Success on H.R. 6641 could have wide-ranging impacts on DME reimbursement across a spectrum of payers far beyond Medicare. It’s essential that providers help raise the visibility of the bill.

Illinois Passes Sales Tax Exemption for Breast Pumps

Gov. Pritzker poised to sign legislation that would remove sales tax for retail transactions of breast pumps and related supplies starting July 1.

Podcast

Whither Competitive Bidding Round 2024?

Kim Brummett of AAHomecare breaks down how the next round of competitive bidding might play out, what CMS might do, and where the program might be headed in the future.

Jeffrey S. Baird

Provider Strategy

DME Compliance Guide in a Nutshell

Here's a rundown of the compliance requirements providers must remember to keep at the top of their minds.

Louis Tenenbaum

Observation Deck

Incentivising Aging in Place for Middle-Income Americans

Public policy and the private sector can work together to meet the future long-term care and housing needs of seniors.

PAMS Gears up for 2022 Annual Convention

The Pennsylvania provider association’s April 20-22 in Harrisburg features a variety of educational sessions and a golf tournament.

Clayback to Step Down from NCART Executive Director Role

After 13 years of reimbursement and policy work, the longtime CRT advocate will vacate the association’s leadership position in September.

Podcast

The Industry’s Fight to Fix Reimbursement

AAHomecare’s Jay Witter details the legislative efforts to secure 90/10 reimbursement for Round 2021’s 13 uncontracted categories and extend the 75/25 blended rate for non-rural, non-CBA suppliers.

AAHomecare Meets with Lawmakers, Staffers on Reimbursement

Association builds support for H.R. 6641 and works with Senate contacts on approaches to preserve the current 75/25 blended rate for non-rural, non-CBA suppliers beyond the end of the Public Health Emergency.

New York Providers Urged to Back Rate Floor Legislation

NEMEP calls on HME stakeholders to ask their Senate and Assembly members to sign on to A.5368 and S.5118 to require MCOs to reimburse DME claims at state rates.

HME Business Podcast