Stay informed with Medbill’s blog, where we share expert guidance, practical tips, and industry updates to help DME providers navigate the industry’s complexities.
Changes in a patient’s health insurance can disrupt billing and care continuity. Unlike other areas of healthcare, durable medical equipment often involves long-term rentals, sometimes lasting a year or more. That means the insurance landscape you started a claim...
As of October 1, 2025, North Carolina Medicaid has implemented provider rate reductions that are already affecting reimbursements across multiple care categories, including DME AND HME services. The North Carolina Department of Health and Human Services (NCDHHS)...
The Department of Health and Human Services has issued a Notice of Proposed Rulemaking (NPRM) that signals significant changes to the HIPAA Security Rule, and DME providers should take note.While these updates aren’t law yet, the direction is clear: vague standards...
Accurate billing is critical for DME and HME providers to maintain profitability and ensure patients receive the equipment they need for ongoing care. Medicare DME documentation requirements can be very specific, and failure to meet those requirements can result in...
The latest in DME news, from regulations and guidelines to payer and patient trends. Hurricane Florence disaster declaration allows CMS to issue a blanket waiver of Section 1135 of the Social Security Act easing documentation requirements on providers. If your...
The latest in DME news, from regulations and guidelines to payer and patient trends. Comments on the ESRD Proposed Rule that contains new competitive bidding language is due September 10. Until the release of the Final Rule, on or after November 1st, there will be no...
In May 2014, the American Hospital Association filed suit against the United States Department of Health and Human Services seeking to compel Administrative Law Judges (ALJs) to comply with applicable statutory deadlines for deciding Medicare claim appeals. By law,...
On January 12, bipartisan legislation was introduced in both the House and Senate that would require bidders to stand by their bids and stop speculators from gaming Medicare contract auctions for home medical equipment. H.R. 284 and S.148 would ban non-binding bids,...
Centers for Medicare & Medicaid Services announced that a proposed rule addressing changes in the Accountable Care Organizations program is coming soon, an official said at the Accountable Care Organization Summit on June 19. Although further details about the...
Industry stakeholders expect Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn., to lead a group of lawmakers in introducing a bill this week that would require HME providers to obtain bid bonds as part of the competitive bidding program. If a provider receives and...
Efforts to fight fraud in the nation’s massive health care program for seniors have burdened many honest providers, pushing some out of business, lawmakers complained Tuesday. At a House subcommittee hearing held by Rep. James Lankford, Democrats and Republicans...
After efforts to remove restrictions from CMS coverage of telehealth through legislative channels have stalled, telehealth stakeholders have sent a barrage of open letters to incoming US Secretary of Health and Human Services Sylvia Burwell, urging her to use her...
