Saying they want to improve care coordination, several organizations are calling on the federal government to reimburse accountable care organizations for the use of telehealth and remote patient monitoring technologies. In three letters sent today to incoming U.S....


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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.
Regulations
Patients Caught in the Middle of Medicare
Every day is a battle for Dorothy Coggins, even with her daughter Patty by her side. But her bout isn't only physical. It started in late April when Dorothy had back surgery at Backus Hospital in Norwich. Patty brought her there on a Tuesday morning and says the...
Industry ‘ready’ for prior auths
Industry stakeholders support CMS’s plans to expand the PMD demo—with a few tweaks. “I’m all for it,” said Peggy Walker, billing specialist at VGM. “I’m ready for more prior auths.” In an April 4 emergency Federal Register notice, CMS detailed plans to expand the...
GAO Releases Round 1 Rebid Report
The second major government report on the Round 1 Rebid to be issued was released by the Government Accountability Office. The report acknowledges that both beneficiary utilization and numbers of providers are down in bid areas. According to the report, in general,...
OIG Releases Round 1 Rebid Report
The Department of Health and Human Services Office of Inspector General released its report on the bidding program’s Round 1 Rebid. The report is based on a random sampling of winning suppliers and single payment amounts (SPAs). Although OIG determined that CMS...
An Overlooked Provision of H.R. 4302
While everyone is talking about Sec. 212 of the Protecting Access to Medicare Act of 2014 (H.R. 4302), which would delay the compliance date of ICD-10 for another year, there is another significant provision in the bill for informatics observers. Sec. 218 of the...
Congressmen Thompson And Braley Join Push To Prevent Expansion Of Medicare Bidding Program
The American Association for Homecare and the VGM Group applauded Representatives Glenn Thompson (R-Pa.) and Bruce Braley (D-Iowa) for urging the Centers for Medicare and (CMS) Medicaid Services Administrator Marilyn Tavenner to refrain from further action to expand...
Nearing enrollment’s end, lots of North Carolinians still uninsured
With two weeks left to enroll in health insurance for 2014 through the Affordable Care Act, tens of thousands of uninsured residents in North Carolina could face penalties if they don’t meet the March 31 deadline. Despite a horrendous roll out – with the federal...
HME News: CGS launches manual wheelchair review
High strength, lightweight manual wheelchairs will be the subject of a service-specific prepayment review because of their high claims payment error rate, CGS, the Jurisdiction C DME MAC, announced Feb. 18. Additional documentation required for K0004 claims may...
Congressmen Urge Sebelius to Fix RAC Backlog
In a letter to HHS Secretary Kathleen Sebelius, 111 congressmen urged HHS to deploy additional resources to resolve the backlog of appeals of overpayments determined by Recovery Audit Contractors (RACs), to implement reforms in the RAC process, and consider...
HME News: Audits: ‘We are in crisis,’ stakeholders say
HME stakeholders made their case against an audit program run amok at a forum last week. “We need to have a resolution on how to help my providers today because we are in crisis,” said Tom Ryan, president and CEO of AAHomecare, who attended the daylong event on Feb....
ALJ Delays by the Numbers
At a recent Office of Medicare Hearings and Appeals (OMHA) hearing on delays in scheduling appeals at the administrative law judge (ALJ) level, AAHomecare President Tom Ryan told OMHA Chief ALJ Nancy Griswold that when he hears stories of providers with patients who...







