CMS/Medicare

topic

News and analysis of CMS rules, Medicare policy and reimbursement changes affecting HME providers and home health agencies.

CMS/Medicare

5 Criteria You Should be Tracking

In the face of Medicaid cuts, measurement matters
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CMS/Medicare

A Call to Action for Dr. Price

From a provider in the industry
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Latest CMS/Medicare News
- Monogram Health Agrees to Pay $2.4 M to Settle False Claims Act Lawsuit
  August 26, 2026 The provider allegedly submitted false diagnosis codes to increase payments received from the Medicare Advantage program
- Office of Inspector General Urges CMS to Take ‘Bold Action’ on DME Fraud
  August 21, 2026 The OIG released a series of recommendations that proposed anti-fraud efforts into three categories: Medicare enrollment, physician orders & enrollee identification numbers
- Report Shows Burden of Insurance Prior Authorizations
  August 19, 2026 New study by KFF analyzes prior authorization denial rates for Medicare Advantage, managed Medicaid plans, more
- CMS Releases Updated Guidance on Competitive Bidding Round 2028
  August 17, 2026 The new documents include information on the DMEPOS sample bid surety bond template & the expected number of contract awards
- Bill Seeks to Expand Medicare Coverage for Long-Term Homecare
  August 14, 2026 The Medicare at Home Act would allow Medicare Part B to cover in-home care for seniors & people with disabilities
CMS/Medicare

New Directions in the Doctor Patient Relationship

A past, present and potentially forward look at physician house calls and home health
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CMS/Medicare

2017: Looking to the Future of the HME Industry

Problems evolve over time, but it is how your business adapts to them that determines your success
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CMS/Medicare

The Strategic Future is Now

External factors will fundamentally alter the post-acute care sector
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CMS/Medicare

The Convergence of Change in Post-Acute Care

External factors that fundamentally impact this sector of health care
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CMS/Medicare

Forging Paths to Success in a Tough Market

Engaging new payer types with contracts and other opportunities
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CMS/Medicare

Looking Beyond Medicare Reimbursement for Additional Sources of Profit

With tightened reimbursements, competitive bidding challenges and the additional regulatory issues that providers deal with, many in the home medical equipment industry are now finding it necessary to capitalize on new and growing revenue streams in order to stay competitive and healthy. Here are five options for HME providers to consider. These alternatives can help you find new ways to care for patients while building your bottom line. 1. Partner with long-term care providers. With your medical equipment expertise, you can help these organizations supply products to their customers and patients in an efficient way. Working with long-term care providers and supplying products to these types of businesses can open up entirely new opportunities for partnering in patient care. 2. Add retail sales. The start-up…
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CMS/Medicare

Employee Engagement

A Holleran White Paper
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CMS/Medicare

The View of Post-Acute Services in 2016

As the baby boomers move out of the workforce, their payroll contributions to Medicare disappear, their need for Medicare services begins and the costs of health care rise every year
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CMS/Medicare

A New Solution to Billing Fraud

States spend millions of dollars every year on fraudulent home care bills
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CMS/Medicare

The Blurred Line Between Medicare and Accreditation

Know the standards, and be prepared for site visits
Read More →: The Blurred Line Between Medicare and Accreditation