Preparing for and Responding to Audits – A Primer
March 17, 2014
AMARILLO, TX – The Medicare fee-for-service program receives over 1.2 billion claims per year: (i) 4.5 million claims per work day; (ii) 574,000 claims per hour; and (iii) 9,579 claims per minute. From 2010 to 2013 OHMA claims and entitlement w
Audits on the Brain – van Halem Addresses Concerns at Medtrade Spring
March 17, 2014
LAS VEGAS – Onerous audits have plagued a huge percentage of HME providers in recent years, and unfortunately the audit tempo shows no sign of slowing. According to Wayne van Halem (pictured), president of the van Halem Group LLC, the future holds,
Change is on the Horizon – CMS is Soliciting Comments on its Payment Methodology
March 3, 2014
AMARILLO, TX – You have heard since the beginning of the competitive bidding program that eventually the single payment amounts would have an effect on areas that are not part of a competitive bidding area (CBA). That time is now. On February 2
Providing Free Tablets and Other Technology
February 24, 2014
AMARILLO, TX – Over the last several years, the health care industry has made a concerted effort to simplify, speed up, and secure ways in which health information is shared. The proliferation of electronic health records is an example of this.
Waiving Copayments for Out-of-Network Patients – Be Careful
February 17, 2014
AMARILLO, TX – DME suppliers are facing a common challenge. Commercial insurers are closing their provider panels, thereby not allowing the suppliers to bill the insurers as in-network suppliers. This relegates the out-of-network suppliers to o
Audits – Can You Continue to Play Russian Roulette?
February 10, 2014
LAKE FOREST, CA – Just 24 hours after being asked to write an editorial, a new marketing flyer being used by a Midwest provider in our industry landed in my in-box. I opened the file expecting to find a professional example of a DMEPOS provider