Latest in: Billing/Reimbursement

AAHomecare Sets Ambitious Payer Relations Agenda

AAHomecare expects to work with stakeholders in approximately 25 states on rate stability issues through legislation or regulatory efforts.

January 24 2025

Revitalized Fraud Enforcement Tool: The Administrative False Claims Act

The National Defense Authorization Act for Fiscal Year 2025 contains an alteration to a federal law that could…

January 10 2025

Patient Files Bankruptcy: Responsive Steps

It is not uncommon for a patient to file bankruptcy. When this occurs, it will likely be either…

January 2 2025

Another Example Of Medicare Advantage Fraud

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

December 27 2024

AAHomecare Analysis Of 2025 Fee Schedule

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

December 27 2024

Hot Button Compliance Issues

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

December 20 2024

AAHomecare Payer Transparency Portal Launching Jan 2025

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

December 13 2024

Switching From Medicare Advantage To Traditional Medicare: Increased Spending

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

December 13 2024

Compliance Program: Mistake Avoidance, Company Valuation, And The 60 Day Rule

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

December 6 2024

DOJ Kickback Settlement: Lesson For DME Suppliers

Essentially any item or service of value offered to a potential referral source can trigger the AKS.

November 27 2024