I recently wrote an article entitled "Court Says No Recoupment Until After ALJ Hearings." This article was about a court decision in which the judge said that recoupment of an extrapolated overpayment as a result of a ZPIC audit could not begin until after ALJ hearings were held.
It’s always disappointing when the HME industry’s efforts to get relief from Medicare’s competitive bidding program fail to cross the finish line. But this last time around, when H.R. 4229 failed to make the cut in a recently passed omnibus bill, it was particularly disappointing.
Tom Ryan has a chip on his shoulder. Ryan, as many of you know, was a DME owner before taking the reins at AAHomecare. Before competitive bidding killed a solid, independent business of 20 years.
In December 2016, Congress passed wide-ranging healthcare legislation popularly known as the Cures bill that expedited the implementation of a requirement that the federal portion of Medicaid reimbursement to states for HME cannot exceed what Medicare would have allowed for these items, in aggreg
Having worked at HME News now for longer than I care to admit (but, it’s been 12 years), I often find myself viewing the world through the lens of home medical equipment.
Some eagle eyes on twitter (I’m looking at you Woody O’Neal) noticed that the August data for our Medicare Market Marker looked like it climbed Mount Everest.
