WASHINGTON – With state Medicaid programs collectively owing more than $225.6 million in overpayments to CMS, HME providers can expect to see those programs look their way.
When an audit action plan is working correctly, any HME business owner should immediately be able to answer three questions—how many audits did we get, how many have we responded to, and what were the results?
WASHINGTON – Is there a way to make the audit process more efficient and effective for home medical equipment providers? AAHomecare is on a mission to find out.
At a time when every last dollar is being scrutinized in Washington, CMS is slashing and burning an industry that saves millions by keeping people out of hospitals and nursing homes. It makes absolutely no sense.
DES PLAINES, Ill. – There's room to eliminate anywhere from $1.5 billion and $5 billion in DME fraud in a single year, according to a new report by the National Insurance Crime Bureau (NICB). The reason?
Medicaid doesn’t always follow Medicare, and therein lies the rub for HME providers doing battle in this latest frontier on audits, industry consultants say.
Let me start out by saying (writing?): The competitive bidding program, as it stands now, is a mess. No one in the industry disputes that (if there is, I haven’t heard from them).
HME companies that take the time to evaluate their denials and reason codes have an opportunity to prevent future situations that may result in denials
Gaining insight into the procedures that are most commonly denied by payers and evaluating the reason codes that accompany the denials can help suppliers modify their clinical documentation and billing practices to prevent denials, reduce claims rework, and improve their
When Jillian Longo joined The Audit Team in October, she brought with her insider knowledge from her previous role as an attorney adviser to administrative law judges (ALJs) with the Office of Medicare Hearings and Appeals.
