ATLANTA--Competitive bidding and accreditation have dominated the industry's headlines in 2008, but HME's newest concern might be related to pressure at the pump.

Providers are worried about skyrocketing gas prices, and a disturbing new trend that has surfaced with them.

Last week, a report from ABC's Salt Lake City affiliate detailed a robbery at Alpine Home Medical, where the provider was hit for more than 100 gallons of gas.

HALIFAX, Va.--In late February, the National Association of Independent Medical Equipment Suppliers introduced an online petition to stop competitive bidding.

Today, the petition has more than 5,100 signatures.

“The response has been great,” cheered NAIMES Chairman Wayne Sale, president of Health First in Richmond, Va., adding the organization will continue to send reports from the petition site to state HME associations.

LEXANA, Kan.--When Gerald Sloan saw the new oxygen allowable under round one of competitive bidding, he knew he was out of the oxygen business with Medicare.

Sloan, the owner of Progressive Medical Equipment in Lenexa, Kan., had bid on oxygen in the Kansas City CBA but was not awarded a contract. And the new rate under competitive bidding--$149.40 in Kansas City--sealed the deal. There would be no grandfathered patients for his company, no subcontracting for a bid winner.

ATLANTA--Hoping for a helpful tool to evaluate competitive bidding contract offers, providers instead reaped a load of troubling questions when CMS revealed the number of contracts it had offered for round one, HME stakeholders said last week.

At the prodding of the American Association for Homecare and others, on March 28 CMS issued a chart showing the number of contracts it had offered in each product category and CBA. It also issued a disclaimer.

ATLANTA--Between contacting CMS and Congress, industry organizations have had their hands full attempting to minimize the impact of competitive bidding on the nation's providers.

That includes potential lawsuits contesting the program from the American Association for Homecare, VGM, the National Association of Independent Medical Equipment Suppliers and others. To outline each organization's game plan, here is what HomeCare Monday has learned.

ATLANTA--The industry is reeling from the across-the-board cuts set in round one of competitive bidding, but nowhere is this more true than in the complex rehab sector.

Averaging 15 percent of current reimbursements, the reductions, coupled with the scant number of contracts offered in the product category, were shocking to members of the rehab community, which has been fighting--thus far unsuccessfully--to have complex rehab equipment excluded from the bidding program.

MIAMI--Competitive bidding has thrown HME into a veritable hurricane of activity--and, amid appeals to CMS, letters to Congress and preliminary moves by various industry groups toward legal action, a new organization has also come on the scene.

Provider Rob Brant of City Medical Services in North Miami Beach, Fla., said he started AMEPA--Accredited Medical Equipment Providers of America--just last week “to unify the accredited medical equipment providers.”