Many retail HME purchases are driven by lifestyle needs rather than strict medical necessity. “In many cases, customers do not want to wait for the reimbursement process...”

The central issue is not whether an order originates from a telehealth encounter, but whether the underlying clinical interaction and documentation meet Medicare’s medical necessity requirements and comply with federal law.

Medtrade exhibitor Resmed and ŌURA, maker of a popular smart ring, are partnering to expand access to sleep health education and pathways to care.

The deadline to opt out of the prior authorization (PA) exemption and continue submitting PA requests has been extended to May 26.

Administration officials have been vocal that the DME industry is fraud-ridden. In terms of government enforcement, DME suppliers are in a hostile environment.

The most successful providers are not using AI to replace their teams, but instead using AI to amplify the team’s capabilities.