Billing/Reimbursement

It’s no secret that the DME industry is currently in a challenging reimbursement environment. The need to chase down more and more documentation to keep up with a flood of insurance payer audits—even... Read more >
Starting a new year with the same goals feels like a bit of a contradiction. But in our industry’s case, the goal will always remain the same: to collect more for less. If current best practices were... Read more >
It is important that the supplier stay off the slopes that result in an enforcement action by a governmental agency. One of these slippery slopes pertains to waiving co-payments. While it is... Read more >
It’s 2014, and a lot of changes will take place this year that will directly impact the home care industry and how business is conducted. But before we look toward the future, it’s worthwhile to... Read more >
The DME/HME market has experienced a great deal of consolidation due directly to Medicare reimbursement cuts from competitive bidding. Further cuts in 
2014 are expected from managed care/private... Read more >
Three weeks ago, when I was asked to advise a client on how to apply for an Extended Repayment Plan, I turned to the Medicare Financial Management Manual (MFMM), expecting the same answer as recent... Read more >
It is essential that HME organizations find ways to expedite the billing process. Some matters are beyond our control—unreasonable audit requests, 
for example—but the areas where you can... Read more >
The data has been analyzed, the reports have been completed and the results are in. RemitDATA has provided the information which has given us our product of the month, and the lucky winner is—... Read more >
Regardless of size, every company is concerned with cash today. After all, paying bills is dependent upon cash—growing the business is dependent upon cash and staying in business is dependent... Read more >
The home medical equipment industry today is a totally different animal from yesterday. The industry has matured, technology has progressed and demand is increasing exponentially. The flip side is... Read more >
July brings with it summer gatherings with friends and family. Many of our patients want to enjoy those gatherings, and to do so, they may need ambulatory equipment to help. The item that we are... Read more >
For those of you who either dabble in urological supplies or offer these products in mass, there are many variables attached that can lead to denials and takebacks. According to an analysis from... Read more >
The following release from MiraVista LLC includes a clear explanation from industry consultant Andrea Stark on how CMS' new reasonable useful lifetime (RUL) policy for stationary and portable oxygen... Read more >
According to analysis by RemitDATA, the A6243 — hydrogel dressing, wound cover, sterile pad, each — has an overall denial percentage of 19.4. To help reduce this high denial rate,... Read more >
COLUMBIA, S.C. — HME providers face situations every day that fall into areas of gray, but the unforgiving climate of Medicare audits is all black-and-white. Industry consultant Andrea Stark of... Read more >