industry

HME

  • 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
    Read More →: HME Opportunities Within Accountable Care Organizations

  • Decoding CMS Referral Data

    In early October, the Centers for Medicare & Medicaid Services (CMS) released new data which provides a wealth of information related to durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) provided to Medicare beneficiaries via referrals from physicians and other health care professionals. The 2013 data set is called, “The Referring Provider Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Public Use File” and is part of CMS’s Medicare Provider Utilization and Payment Data set. The new data includes information on 385,915 referring providers, more than 100 million claims and $11 billion in Medicare allowed payments for calendar year 2013. The data is posted on the CMS website at cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-provider-charge-data/dme.html. The data set identifies individual providers who referred DMEPOS items and services using their National…
    Read More →: Decoding CMS Referral Data

  • Latest HME News

  • Complex Rehab Products Put the Focus on the Client

    Answers from industry experts about the market and how it can increase your revenue
    Read More →: Complex Rehab Products Put the Focus on the Client

  • Selecting the Right Vehicle Lifts to Include in Your Inventory

    Industry leaders explain what the vehicle lift market can offer you
    Read More →: Selecting the Right Vehicle Lifts to Include in Your Inventory

  • DME by the Numbers

    Re-enrollment in Medicare is often one of those activities conducted during the fall. The industry has been told that CMS is revising the 855-S form that suppliers use for Medicare program enrollment and re-enrollment in order to better align the accreditation product categories that list the DME items pharmacies and suppliers provide. We have not seen the revised form yet, but we are expecting it to be released at any time. Prescribers and PECOS Enrollment It has been three years since the first prescribers were enrolled in PECOS and the system went live. Now it is time for PECOS re-enrollment. Many suppliers across the country found themselves in a quagmire this summer when their routine prescribers were no longer listed in PECOS. As it turns…
    Read More →: DME by the Numbers

  • Steps to Securing Third-Party Payments

    As the national competitive bidding rollout approaches, many HME providers are looking toward a more diversified payer mix
    Read More →: Steps to Securing Third-Party Payments

  • 7 New Opportunities for Today’s DME Entrepreneur

    The Parallel Avenue to Success
    Read More →: 7 New Opportunities for Today’s DME Entrepreneur

  • 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…
    Read More →: The Affordable Care Act and the 60-Day Rule

  • PHM May Represent the Future of DME

    Every marketplace experiences an inevitable evolution that causes its constituents to speculate about the future
    Read More →: PHM May Represent the Future of DME

  • The Moment of Truth on Audits

    AAHomecare has been to the Hill, CMS, GAO, OIG and everywhere in between, speaking passionately about the problems with Medicare audits and how they are crushing an industry already under pressure. Out there on the front lines of this battle, the most frequent response from policymakers comes in the form of a question: “Do you have any data to back up your statements?” “Can you show me with numbers how this is affecting your industry?” That is the moment of truth, because we do not have any data and we cannot numerically show how this is affecting our industry. The industry must be able to demonstrate the burdensome nature of audits, in terms of both volume and overturn rates. If we cannot accurately detail how…
    Read More →: The Moment of Truth on Audits

  • Growing Your Home Modification Business

    A definitive focus has turned to installed products and services that can increase the depth of business for HME providers as the landscape for reimbursements continues to shift
    Read More →: Growing Your Home Modification Business

  • Competitive Bidding Countdown

    Get Internet sales-ready with our handy 1-2-3 of items to cover
    Read More →: Competitive Bidding Countdown

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