Care of Chronic Conditions
The population of people with bladder control problems is growing each year, as the issue concerns mostly seniors and the population is generally living longer. According to data published by U.S....
View ArticleBilling Part B Patients in Skilled Nursing Facilities
The government has taken the position that if a facility originally received Medicare certification for participation as a skilled nursing facility (SNF), then that prohibits a DME supplier from...
View ArticleBack to School, Recess is Over!
With August recess behind them, Congress returns to Washington, D.C. this month with a full agenda. Our challenge will be to get key industry policy objectives addressed by Congress. There are two top...
View ArticleAuthorization and Eligibility
Recently I received a call from an insurance specialist at the imaging center where I will be having an MRI soon. The purpose of the call was not to remind me about my appointment, but to inform me...
View ArticleAre You Prepared for ICD-10?
On October 1, the nation will adopt the new ICD-10 diagnosis code set. ICD-10 is the 10th edition of The International Statistical Classification of Diseases and Related Health Problems, published by...
View ArticleApplication of Bid Rates
In November 2014, CMS issued Final Rule 1614-F, 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...
View ArticleAdditional Documentation Requirements
With the advent of competitive bidding, many providers have changed their focus from traditional DME and respiratory products to supply items. However, suppliers need to be aware that the DME MAC’s...
View ArticleA4353 Intermittent Urinary Catheter
For those of you who either dabble in urological supplies or offer these products in mass, there are many variables attached that can lead to denials and takebacks. According to an analysis from...
View ArticleA Bounty System for Federal Investigators
Two identically-suited men arrived at the offices of Anytown Homecare, presented the receptionist with a search warrant and proceeded to remove the company’s computers, customer records and various...
View Article7 New Opportunities for Today's DME Entrepreneur
With the multitude of changes and challenges in today's durable medical equipment (DME) marketplace, successful entrepreneurs are seeking new opportunities where they can employ their skill and...
View Article6 Misconceptions About Fraud
There is a danger of complacency if you ignore these six common misconceptions about fraud and abuse in the HME industry. If you are alert, you should be better prepared to both create and enforce your...
View Article3 Strategies to Improve Your Bottom Line
The year 2016 was not a friend of the HME industry. Last year was a year of competitive bid pricing nightmares, continued audit frenzy, as well as third party reimbursement woes. Despite so much...
View Article10 Ways to Increase Value in Your Homecare Company
As the world of homecare, home health, hospice and DME has evolved, so has the sophistication of today’s investors and buyers. They understand the impact of numerous health care trends: value and...
View ArticleA New Tool for HME Order Processing
Watch the evolution of an industry other than your own. Digest the lessons, vision your future, then invest. Indianapolis-based Stratice did, and according to CEO Jason Farmer, the health care...
View ArticleA Year of Managed Care Care Rate Reductions
As the health care environment continues to evolve, we see one steady trend: Medicaid and Medicare enrollment are steadily increasing. However, new trends are also emerging as we analyze data and...
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