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What’s behind that spike in utilization, you ask?

Friday, February 16, 2018

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.

Updated data, CMS’s central office and The Circus Ship

Tuesday, September 26, 2017

We go live with 2016 data for our HME Databank on Oct. 1. I’ve been playing around in a test site this week, and let me tell you, the data ain’t pretty.

OIG details spike in vent billing

For E0464, Medicare paid 215,379 claims in 2015 vs. 2,258 claims in 2009, according to new report

WASHINGTON – Medicare paid 85 times more claims for noninvasive ventilators in 2015 than it did in 2009, says a new report from the Office of Inspector General.

Toxic mix

Tuesday, June 21, 2016

I blogged last week about the significant drop in the number of allowed beneficiaries for some of the most popular DMEPOS products starting in January of 2016.

These graphs speak for themselves

Tuesday, June 14, 2016

I was putting the finishing touches on our Databank page for the July issue this morning, and the updates to the Medicare Market Marker hit me like a ton of bricks.

GAO releases report on accessories


WASHINGTON – Accessories for complex power wheelchairs might account for a relatively small share of Medicare utilization, but they account for a much larger share of total spending, according to a highly anticipated report published June 1 by the Government Accountability Office.

Point taken

Wednesday, February 3, 2016

I’ve fielded a number of calls in the weeks following a story about Merits Health Products entering the complex rehab market and a follow-up story looking at why we’ve seen two n

CMS posts DMEPOS data dump


WASHINGTON – CMS has posted a new data set that provides information on more than 385,000 physicians and other healthcare profession

Sneak peek at 2014 data

Thursday, July 9, 2015

If it’s summer in Maine, it means I’m in the throes of requesting, collecting and analyzing Medicare data sets for two upcoming projects: the annual update of our HME Databank (it happens Oct.

CMS’s bull’s eye on vents

Thursday, April 30, 2015

A few weeks ago, I was in a CPAP frame of mind; this week, it’s vents.

First, CMS announced that non-invasive vents would be a new product category in Round 1 2017.