As a small business owner in the DME industry, I for one think it is about time CMS and Congress recognize the enormous disparity between mail order and non-mail order reimbursements (“Diabetes payments pushed off a cliff,” HME News, February 2013).
A top priority for the complex rehab industry in the new year and new Congress will be the reintroduction of the legislation “Ensuring Access to Quality Complex Rehabilitation Act,” which strives to create a separate benefit category for complex rehab technology.
The first thought that ran through my head when I learned that the payment amounts for Round 2 were, on average, 45% below the current fee schedule, was, “Providers really shot themselves in the foot this time.”
Our first goal as business owners or managers is to bring clear thinking to our companies. Every day, ideas and decisions come from our desks that result in hundreds of ideas and decisions from the professionals in our organizations.
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