SAN DIEGO (February 26, 2018)—DME Data Solutions announced the launch of a new software application designed to prevent administrative errors in a health care environment.
reimbursement
Act provides transitional payments for therapies.
MCKINNEY, Texas (February 12, 2018)—Soleo Health, an innovative leader in specialty infusion services, announced today it strongly supports Congress’ passing of a transitional payment for home infusion services in H.R. 1892, the Bipartisan Budget Act of 2018, which was signed into law this weeks.
Commercial insurance and anti-discrimination restrictions apply
The guidance directs state Medicaid directors on how to best set reimbursement rates.
Via AAHomecare, WASHINGTON, D.C. (December 29, 2017)—As mandated in the December 2016 CURES bill, federal Medicaid reimbursement to states for home medical equipment cannot exceed what Medicare would have allowed for these items, in aggregate, beginning on January 1, 2018.
Wayne Slavitt will answer attendees' questions and discuss retail opportunities for HME providers.
ATLANTA (September 7, 2017)—The retail/caretail drumbeat continues, with more HME providers diving into the cash waters and looking for guidance along the way. Medtrade attendees who want more retail/caretail advice can choose from several sessions at the show, scheduled for October 23–25, 2017.
HME organizations go above and beyond in caring for communities.
—Via AAHomecare, WASHINGTON, D.C. (July 20, 2017)—Storms are brewing, and not just the metaphorical kind caused by crushing reimbursement and regulations. As we move into the late summer months, suppliers are readying their companies for hurricanes, tornadoes, floods, heat waves and other disasters that wreak havoc on communities, leaving their customers in need of vital equipment and services.
How solid inventory management and accurate billing ensure a solid partnership
21st Century Cures Act removes coverage for home infusion services.
MCKINNEY, Texas (May 23, 2017)—Soleo Health, a national provider of specialty home and alternate-site infusion services, announced it is aggressively advocating for thousands of home infusion therapy patients that stand to be affected by the recently enacted 21st Century Cures Act.
The process will take approximately 24 weeks.
—Via AAHomecare, WASHINGTON, D.C. (May 10, 2017)—On Monday, CGS, the DME MAC Jurisdiction C and B contractor announced that they are prepared to begin reprocessing claims that are subject to the CURES-mandated fee schedule adjustment. The mass adjustments will be conducted in batches. They will be processing claims five days a week and it is expected to take 24 weeks to complete. Jurisdiction C has approximately 4.7 million claims and is planning to reprocess 40,000 claims per day.
The press for long-term relief continues.
—Via AAHomecare, WASHINGTON, D.C. (May 10, 2017)—AAHomecare continues to press the case for longer-term relief for rural and non-bid area providers, as well as for significant structural improvements to the Competitive Bidding Program with Federal regulators.
An analysis by the Moran Company points to the need for additional safeguards for rural patients.
Washington, D.C. (April 26, 2017)—A new analysis of Medicare home health beneficiaries completed by The Moran Company illustrates the vulnerability of the Medicare home health patient population, particularly seniors residing in rural communities who are in poorer health and who have reduced access to health care services compared to their urban counterparts, and therefore rely heavily on home health.
The work continues with the new administration.
—via AAHomecare WASHINGTON, D.C.
There is no word from the Defense Health Agency on whether claims will be reprocessed.
WASHINGTON, D.C. (February 22, 2017)—AAHomecare recently evaluated the language of the CURES Bill and how it pertains to the TRICARE network. As previously reported, AAHomecare received an attorney opinion that the language inside of the CURES Bill should relate to the TRICARE network as well.
WASHINGTON, D.C. (February 13, 2017)—CMS released last week guidance to the DME MACs for retroactive reimbursement adjustments for rural/non-bid area providers for equipment and services furnished between July 1–December 31, 2016. These adjustments follow provisions in last year’s CURES legislation providing a measure of relief for rural/non-bid area providers.
The paper will help frame discussions with state Medicaid directors around CURES Act regulations.
WASHINGTON, D.C. (February 9, 2017)—The American Association for Homecare (AAHomecare) today released a briefing paper designed to assist home medical equipment leaders nationwide in their efforts to engage state Medicaid directors on future Medicaid rate-setting deliberations involving home medical equipment.
Problems evolve over time, but it is how your business adapts to them that determines your success
EXETER, Penn. (November 9, 2016)—Quantum Rehab is pleased to announce that its revolutionary, patented iLevel power-adjustable seat height technology has now been embraced by over 5,000 users.
Officially launched in July 2015, iLevel elevates the seat up to 10 inches, while simultaneously stabilizing the power wheelchair via Extra Stability Technology, allowing full functionality at walking height and speeds up to 3.5 mph for empowered independence and complete inclusion.
CLEARWATER, Fla. (October 6, 2016)—Zelis Payments, a division of Zelis Healthcare, announced today that it is the first electronic reimbursement vendor to participate in EnrollHub, the EFT/ERA enrollment solution by the non-profit alliance, Council for Affordable Quality Healthcare (CAQH). EnrollHub enables health care providers to enter their EFT enrollment information into a single, secure online utility and select the payers from whom they wish to receive electronic payments.
WASHINGTON, D.C (September 29, 2016)—This past spring, AAHomecare widely distributed a survey to members and other companies in the respiratory segment exploring the possibility of restructuring the basic tenets of respiratory reimbursement via a new payment methodology focusing on Chronic Respiratory Management.
ATLANTA (September 8, 2016)—Provider Web Capital continues to bring solutions to meet the needs of health care small business owners. In August, the company highlighted their patent-pending Remit ATM solution. This product allows medical business owners to get paid immediately when they receive an Explanation of Benefits (EOB) notice from a payer.
LENEXA, Kan. (August 31, 2016)—Mediware Information Systems, Inc., is hosting a free webinar for attendees on Tuesday, September 20 at 12 p.m. CST, 1 p.m. EST to discuss if providers should further pursue cash sales and stay competitive by becoming a non-participating Medicare provider.
WASHINGTON, D.C. (July 6, 2016)—The Council for Quality Respiratory Care (CQRC)—a coalition of the nation’s home oxygen therapy providers and manufacturing companies—commended Congressman Tom Price (R-GA), David Loebsack (D-IA), Cathy McMorris-Rogers (R-WA), Peter Welch (D-VT) and their colleagues in the United States House of Representatives, for passing the Patient Access to Durable Medical Equipment (PADME) Act (H.R.