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.
Medicare payments to hospitals for care they provide on an outpatient basis would increase 2.1 percent under an White House Administration proposal highlighting a trend toward discouraging unnecessary admissions. Medicare, the health program for the elderly and...
Medicare Part B Providers will be able to appeal certain Medicare claims decisions without utilizing an administrative law judge, the Centers for Medicare & Medicaid Services announced Thursday. Settlement Conference Facilitation is an alternate dispute resolution...
H.R. 4920 - Frequently Asked Questions With the recent introduction of H.R. 4920, Medicare DMEPOS Competitive Bidding Improvement Act of 2014, questions about the specifics of the bill and why it is important for the HME industry have come from providers around the...
Accountable care organizations should be able to place patients in skilled nursing facilities more quickly and communicate which SNFs are preferred providers, the Medicare Payment Advisory Commission stated in a letter to a top government health official. The...
A majority of HME providers welcome the idea of prior authorizations for certain DME, but they say Medicare’s proposed timeline for returning decisions is unreasonable. Sixty-nine percent of the 160 respondents to a recent HME Newspoll think CMS’s proposal to...
A year after North Carolina launched a massive overhaul of the state's Medicaid billing system, some providers are still reporting major problems that have lead to increased paperwork and patients waiting longer for care. NCTracks launched in July 2013, promising to...
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...
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....
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...
Yesterday afternoon, AAHomecare received an advance copy of a proposed rule for prior authorization of DMEPOS items in Medicare Part B. In this proposed the rule, CMS is soliciting public comments on establishing criteria for a master list of durable medical...
CMS has just released a proposed rule that would require Medicare prior authorization (PA) for certain Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that the agency characterizes as "frequently subject to unnecessary...
CMS wants to focus on improper payment prevention, but will providers see fewer burdens? With Medicare’s “two midnight rule” set to take effect later this year and audit appeals facing lengthy backlogs, the Recovery Audit Contractor program may be headed in some new...
