industry

HME

  • 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

  • Latest HME News

  • 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

  • Facing the Health Care Challenge

    What’s ahead for the industry and how can you prepare?
    Read More →: Facing the Health Care Challenge

  • Congressional Legislation Introduced to Help Complex Rehab and Rural Providers

    Congress introduced two bills to address concerns with CMS’s plans to apply competitive bid (CB) rates to statutorily exempt complex rehab technology (CRT) wheelchair accessories and to apply bid rates in non-bid areas. Absent passage of the legislation, Medicare payments to providers will be cut significantly for CRT wheelchair accessories and the DME items included in competitive bidding. Outreach and advocacy efforts with your federal legislators are needed to help strengthen support for passage of the bills. The CMS proposals were included in a Final Rule (1614-F) last November, which contains provisions relating to the DME Competitive Bidding (CB) program and how CMS plans to roll out competitive bid pricing in non-bid areas. A subsequent December Frequently Asked Questions (FAQ) document indicated that beginning in…
    Read More →: Congressional Legislation Introduced to Help Complex Rehab and Rural Providers

  • Accessibility and Education in Medication Management

    Experts in the industry discuss how the market can better serve customers
    Read More →: Accessibility and Education in Medication Management

  • Advice from Lift & Transfer Device Experts

    We hear from 4 companies about trends and challenges in the market
    Read More →: Advice from Lift & Transfer Device Experts

  • Building a Successful Medical Alert/PERS Business

    Analyze criteria and consider the following elements before debuting this service
    Read More →: Building a Successful Medical Alert/PERS Business

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