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Oxygen
When Does the 36-Month Oxygen Rental Period Restart?
6 scenarios in which HME providers can legally restart the oxygen rental period -
Operations
The Basics of Billing Non-Assigned
Commercial insurance and anti-discrimination restrictions apply -
Health Insurance
Necessary Insurance for Home Health Agencies
Minimize claim damage with the right policy -
Competitive Bidding
Rock Bottom and Rebound
It is my opinion that the DME industry has finally reached “rock bottom” and is now starting its rebound. My opinion is based on several observations. The psyche of the DME industry has been justifiably “down” for a number of years. It seemed like every time we raised our head we got kicked in the teeth. This “teeth kicking” is coming to an end. Our wounded psyche is healing and we are moving forward. I saw this renewed optimism at Medtrade Spring. The attendees were “all business.” They were there to learn and interact with others. Many of the attendees have little to no idea as to “how things used to be.” In fact, they don’t care “how things used to be.” They are operating... -
Features
HME Opportunities Within Accountable Care Organizations
The fee-for-service model is being replaced with collaborative care. Find out where you fit into this new system -
Law School
The Affordable Care Act and the 60-Day Rule
There is an inherent adversarial relationship between the DME supplier and CMS. On the one hand, the DME supplier markets products and services, receives the physician’s order, obtains the necessary supporting documentation, delivers the product and educates the patient, and bills and collects from Medicare. On the other hand, the Medicare contractor audits the supplier’s documentation. If the contractor concludes that the documentation is deficient, then the contractor will assert that Medicare should not have paid the claim and the supplier is required to repay Medicare. Layered on top of this tension are investigations by the National Supplier Clearinghouse (NSC) and the Office of Inspector General (OIG). If the NSC/OIG concludes that a DME supplier’s claims result from a kickback arrangement, a Stark violation, a... -
Law School
Billing Part B Patients in Skilled Nursing Facilities
The government has taken the position that if a facility originally received Medicare certification for participation as a skilled nursing facility (SNF), then that prohibits a DME supplier from billing Part B for products delivered to custodial patients residing in the facility. On Feb. 24, a Louisiana federal court ruled against the government. -
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