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Statistics, silver linings, no sense

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Friday, October 20, 2017

I’ve had a few conversations now where the people I’m talking to try to find the silver lining in the statistic that the number of DME locations has dropped about 40% since 2013, when Medicare’s competitive bidding program began to really gain steam.

HME: Not so hip on HIPAA?

‘The No. 1 focus of audits is the security and risk assessment, which is woefully missing in this industry’
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10/13/2017

ATLANTA – Industry consultants report a number of HIPAA-related audits making the rounds in the HME industry and the best they can tell, providers, for the most part, are not prepared for them.

CMS sets start date for targeted audits

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09/22/2017

WASHINGTON – CMS will expand its Targeted Probe and Educate program to include all of the Medicare Administrative Contractors effective Oct. 1.

Providers to SBA: Monitoring clipboards won’t curb fraud

‘The new administration is asking how to get rid of the regulations’
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09/01/2017

WASHINGTON – From accreditation to audits, HME providers let panel members at a Small Business Administration hearing last week know exactly how they feel about burdensome regulations.

Reporter’s notebook: Audit reprieve a ‘confidence builder’

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08/28/2017

MODESTO, Calif. – It’s not every day that HME providers get good news from a CMS audit contractor, but Home Oxygen Company recently got a break from certain audits.

New audit program makes concessions

Puts emphasis on education, rewards improved performance
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08/25/2017

WASHINGTON – HME stakeholders and billing consultants are “cautiously optimistic” about a new program aimed at streamlining the number of audits.

Regulatory news: CMS revamps audits, lawmakers question CPAP bundling

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08/18/2017

WASHINGTON – Claims submitted by providers that have the highest claim error rates or billing practices that vary significantly from their peers will soon face increased scrutiny, CMS has announced.

In brief: HHS scores win in appeals fight, Superior HealthPlan makes changes to Medline contract

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08/18/2017

NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

CMS revamps claims review process

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08/16/2017

WASHINGTON – Claims submitted by providers that have the highest claim error rates or billing practices that vary significantly from their peers will soon face increased scrutiny, CMS has announced.

Hot in the Heartland

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Wednesday, June 14, 2017

There’s an old saying: If you can’t take the heat, get out of the kitchen.

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