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Editorial

Gut feelings and patience

 - 
05/24/2012

Data has always been a hallmark of the HME News Business Summit. Each year in our Financial Benchmarking presentation, providers see how they stack up against their peers in everything from net revenues to DSO to employee expenses.

Letter: CMS is barking up the wrong tree

 - 
04/23/2012

In the last several weeks, there have been two CMS announcements, covered by national news organizations, in regard to Medicare fraud. The first is a physician in Los Angeles, Dr. Jacques Roy, charged with a $375 million Medicare scam. Yes, $375 million!

Don't know what to say about market pricing?

People For Quality Care provides Cliff's Notes
 - 
04/23/2012

As we reach the one-year anniversary of pushing H.R. 1041 to eliminate competitive bidding, we now need all of our allies to include the market-pricing program (MPP) in their conversations to Congress.

Legal roadmap to accountable care

How can you be a player, and what are your responsibilities?
 - 
04/23/2012

Section 302 of the Affordable Care Act (ACA) includes provisions related to Medicare payments to providers of services and suppliers that participate in Accountable Care Organizations (ACOs).

Don't count on the court, just get down to business

 - 
04/23/2012

You might not want to count on the U.S. Supreme Court to save the HME industry from a host of painful provisions in the Affordable Care Act (ACA).

Letters to the editor: Crisis averted but work not done

 - 
03/26/2012

CMS announced, in the fall of 2011, the launch of competitive bidding in 91 of the largest U.S. metropolitan areas and their intentions to bid manual wheelchairs and items deemed accessories.

A hypocrite and a telling comment

 - 
03/23/2012

We get emails all the time from HME providers and other stakeholders pointing stuff out. These emails often sit in my inbox for some time. They're interesting and noteworthy, but there's no way we can write stories about them all. So in an effort to clean out my inbox, I'm going to share a few of them with you here.

Audits: Part 3

 - 
03/23/2012

According to CMS, the Medical Review (MR) program is designed to promote a structured approach in the interpretation and implementation of Medicare policy. MR functions may include analyzing data; writing and reviewing local coverage determinations; reviewing claims and educating providers; comprehensive error rate testing; advance determination of Medicare coverage; probe reviews; supplier education; and medical review of claims not for benefit integrity purposes.

Garbage in, garbage out: Bill right from the get-go

 - 
03/23/2012

In any chain of events, the first link is generally the most important. If something goes wrong there, it can impact every other step in the process. This is particularly true with HME providers, which rely on intake coordinators to get a complicated billing process initiated properly. Starting off on the wrong foot wastes time and money, and opens the provider up to denials and, even worse, a potential audit.

What is new data to lawmakers?

 - 
02/24/2012

It was only a few hours into my workday on a recent Monday when a home medical equipment provider emailed me about a story in our HME News Wire on Prof. Peter Cramton crunching an impressive amount of Medicare data and coming up with the following conclusions (See stories on pages 1 and 4):

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