The challenge will be to balance the protection of Medicare beneficiaries while holding private insurers accountable for their fraudulent practices.

AAHomecare’s analysis of the top 25 DME items shows average rate changes.

Noncompliance can lead to audits, recoupments, and civil and criminal liability.

AAHomecare is debuting a new benefit for HME provider members coming in January 2025: the AAHomecare Payer Transparency Portal. 
 

Approximately 54% of Medicare beneficiaries are covered by Medicare Advantage Plans (MAPs) and this percentage is expected to increase.

Health care providers, including DME suppliers, must play by a different set of rules than most non-health care businesses.