Safeguard your company from negative audit findings
CMS/Medicare
The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
*Updated June 7, 2019 with link to presentation.
NASHVILLE (June 5, 2019)—Some 130 providers from around the country gathered Wednesday in Nashville, Tennessee, for the Bid Smart 2019 Summit, sponsored by the VGM Group, AAHomecare, the Council for Quality Respiratory Care (CQRC), At Home Services and the Healthcare Nutrition Council. The interactive summit covered the details of Round 2021 and helped providers learn how to approach bidding fully informed.
The new competitive bidding category could create patient access problems
Birmingham, Ala. (May 7, 2019) – The Centers for Medicare & Medicaid Services (CMS) announced Tuesday that it will open the window for Round 2021 of its competitive bidding program on July 16, 2019.
3 major Q2 updates changing provider behavior
AAHomecare is tackling new challenges and looking forward in mid-2019
BIRMINGHAM, Ala. (April 30, 2019)—On Friday, The Department of Health and Human Services (HHS) released new interpretations to the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 regarding HIPAA violations.
The HITECH Act outlined four tiers of violations for covered entities by level of culpability:
NASHVILLE, Tenn. (April 9, 2019) —The former CEO of a pain management company was found guilty by a federal jury for his role in an illegal kickback scheme involving more than $4 million in tainted durable medical equipment (DME) claims to Medicare.
New CMS codes lead to better payout for providers
6 scenarios in which HME providers can legally restart the oxygen rental period
WASHINGTON, D.C. (January 29, 2019)—The Centers for Medicare & Medicaid Services (CMS) released a list of frequently asked questions (FAQ) for the home health conditions of participation (CoP), effective as of January 13, 2018. Even though the final version of the interpretive guidelines for these CoPs was finalized at the end of August 2018, there were still outstanding questions. Many have been answered in the FAQs.
8 areas you should monitor for success under this new model
WASHINGTON, D.C. (January 10, 2019)—Home health agencies face a potentially serious claim denial issue related to new Plan of Care requirements, the National Association for Home Care & Hospice reported in its Jan. 9 bulletin.
The Medicare Learning Network (MLN) has scheduled a call for Feb. 12, 2019, to cover the Patient-Driven Groupings Model that will be implemented Jan. 1, 2020.
The new home health reimbursement rule is not the end of the road
Recent gains won't slow down industry leaders
Competitive bidding gap period creates new considerations
Three Reasons January 1st Matters to the Medical Equipment Market
For patients with certain medical conditions, getting the right medical equipment can be life changing. However, the reality is that today’s health insurance plans often cover less than they used to, especially when it comes to medical equipment. This can be especially challenging as deductibles continue to rise. Since 2006, insurance deductibles have risen 396 percent, raising the average from $303 to $1,505 according to a KFF report.1
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