General news |
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Iowa: Latest state to eye competitive bidding |
By Liz Beaulieu Editor - 12.29.2009
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DES MOINES, Iowa – The Medicaid program in Iowa continues to pull punches.
Providers in the state barely had time to adjust to a recent 5% reimbursement cut for HME when a report was released that proposes competitively bidding HME and supplies. It’s now up to state lawmakers to implement the program or not.
“We’re doing a tremendous amount of education,” said Terry Flatt, Iowa state chairman for the Midwest Association for Medical Equipment Services (MAMES) and executive vice president of Hammer Medical Supply in Des Moines. “What we’re finding is that no one knows what we do until we talk to them. So our biggest fear is that they don’t understand the complexity of our industry.”
Gov. Chet Culver’s “Iowa Efficiency Review Report,” released earlier this month, states that competitively bidding HME and supplies could save $500,000 in the first year and $4.1 million over five years—a tempting option for a state that, like most others, is cash-strapped.
Providers, with support from MAMES and The VGM Group, which is based in Waterloo, are educating lawmakers about the potential negative impacts of competitive bidding on their constituents, including reduced access and service.
“It’s one thing to competitively bid adult diapers that are being used in state institutions,” Flatt said. “But you can’t wholesale what we do. Only half of what we do is providing product; the other half is all service.”
Providers in Pennsylvania used a similar strategy in 2007 to beat back a proposal in that state to competitively bid HME.
“You have to be able to gauge the impact of the program and communicate that to legislators,” said John Shirvinsky, executive director of the Pennsylvania Association of Medical Equipment Suppliers (PAMS). “You also need some legislative champions.”
Providers in Iowa hope they have that in Sen. Jack Hatch, who’s involved in three committees that will review the governor’s proposal. He has committed to meeting with them.
“They’re not opposed to alternatives,” Flatt said. “They’re looking for advice on other things they can do, like a reduction in the fee schedule for one or two items.”
Even if providers in Iowa escape this threat, they need to remain vigilant, especially with all eyes on Medicare’s national competitive bidding program for HME, which goes live Jan. 1, 2011.
“When they agreed to withdraw the proposal in Pennsylvania, they said they wanted to wait and see what happened nationally,” Shirvinsky said. “We’re always watching it.”
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| 8-8 They’re Auditing Me! What Do I Do Now? | Attendance is $99
During this event, Andrea Stark will walk you through the entire audit process step-by-step, from the moment you receive a request for additional documentation, through the time you submit your initial response and (if necessary) your appeal. Most importantly, Andrea will ensure you gain a clear understanding of your full rights while undergoing an audit.
For more information or to register, visit: http://www.miravistallc.com/recent_services.php.
| | 13-13 “Contracting Time is Here: Do You Know Your Game Plan?” | In Cincinnati on July 13.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 13-13 Pre-Payment Reviews and RAC Audits | “Pre-Payment Reviews and RAC Audits: Steps to Prepare for and Survive These Life-Altering Events," presented by Jeffrey Baird, Esq., Brown & Fortunato, P.C. Call AAHomecare for details: 703.836.6263.
| | 14-14 “Contracting Time is Here: Do You Know Your Game Plan?” | In Pittsburgh on July 14.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 15-15 “Contracting Time is Here: Do You Know Your Game Plan?” | In Orlando July 15.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 20-20 "Contracting Time is Here: Do You Know Your Game Plan?" | In Dallas on July 20.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 20-20 Audits…a Four Letter Word | “Audits…a Four Letter Word: How to Prepare for and Respond to DME MAC and ZPIC Audits,” presented by Jeffrey Baird, Esq., Brown & Fortunato, P.C. Call AAHomecare for more details: 703.836.6263.
| | 21-21 "Contracting Time is Here: Do You Know Your Game Plan?" | In Kansas City July 21.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 22-22 "Contracting Time is Here: Do You Know Your Game Plan?" | In Charlotte, N.C., July 22
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 29-29 "Contracting Time is Here: Do You Know Your Game Plan?" | In Miami on July 29.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 29-29 Have PECOS Questions? Get Straight Answers, Live! | July 29, 2010 @ 2:00pm EST
Due to the increasing number of inquiries MiraVista is receiving regarding the July 6 PECOS physician enrollment deadline and January 3, 2011 rejection implementation date, we have decided to hold this timely PECOS webinar. The majority of the webinar will be held as an open forum for suppliers to ask and receive answers to their PECOS questions directly from DME consultant Andrea Stark.
Cost is $99. Register at: http://www.miravistallc.com/recent_services.php.
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| 9-9 DMEPOS Billing Workshop: Maintaining Compliance with the Medicare Program | August 9, 2010 – Columbia, SC – 9am-5pm EST
Whether you’re looking to reduce the number of audits you are receiving or need to stay up to date on current documentation requirements for various DME, this DMEPOS billing workshop is for you! Both seasoned billers and new trainees will benefit from this course, as Andrea Stark lays the foundation for continued compliance with the Medicare program, and provides updates on recent policy changes and claims edits.
Cost is $295 for the first attendee, $225 each additional. Register at: http://www.miravistallc.com/recent_services.php.
| | 10-10 "Contracting Time is Here: Do You Know Your Game Plan?" | In Cleveland on Aug. 10.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 17-17 "Contracting Time is Here: Do You Know Your Game Plan?" | In Riverside, Calif., on Aug. 17.
While the DME provider community continues to work strenuously to repeal the competitive bidding program, the VGM National Competitive Bidding Services team is hitting the road again. Throughout July and August, the group will be co-hosting, along with respective state associations, full-day seminars, “Contracting Time is Here: Do You Know Your Game Plan?” The series will be presented by Mark Higley, vice president-development; John Gallagher, vice president-government relations; Alan Morris, regulatory analyst, all from VGM; and attorney Neil Caesar, president, Health Law Center. The series, designed for all providers affected by the bidding program, will focus on:
· Detailed overview of the contractual obligations for bid winners.
· Discussion about financially evaluating a bidding contract, including a take-home comprehensive Contract Evaluation Toolkit.
· Legal advice and legal document templates for subcontracting and change of ownership.
· Dos, don’ts, and tips on marketing your competitive bidding contract or subcontracting agreement.
· In-depth legislative update on activity on Capitol Hill related to the effort to repeal competitive bidding, as well as other DME industry issues.
| | 19-19 Revisiting Patient Pay: Are you leaving $ on the table? | August 19, 2020 @ 2:00pm EST
Your front-end could be the reason patient AR is ballooning. Join Andrea Stark for this informative webinar and ensure you’re taking advantage of every opportunity to proactively secure payments and reduce future collection efforts.
Cost is $49. Register at: http://www.miravistallc.com/recent_services.php
| | 31-31 MESA Fall Conference 2010 | Aug. 31-Sept. 3 in Dallas. Wondering what the future holds for DME? For your company? Obviously, no one knows ... but we all hope for the best ... and the best idea is to be prepared. MESA's Fall Conference 2010, is sure to be a comprehensive, education- and information-packed event for the HME/DME provider and staff ... and an excellent way to get prepared for your company's future in the HME industry! FMI: http://www.mesanet.org/index.php?cid=5282&src=gendocs&ref=Fall_Conference_2010_Index&category=Conferences&curlid=495
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| 2-2 Can You Really Do That? Debunking Medicare Myths | September 2, 2010 @ 2:00pm EST
This webinar will set out to distinguish the difference between Medicare myths and reality. Participants will learn what is really acceptable under Medicare guidelines and will have the opportunity to get their own Medicare myths debunked.
Cost is $99. Register at: http://www.miravistallc.com/recent_services.php
| | 12-14 2010 HME News Business Summit | Data and Market Intelligence You Can’t Get Anywhere Else!
The tools and strategies you need to drive revenue and cut costs are at the 2010 HME News Business Summit. We deliver real-life case studies, original research and industry benchmarks. Join your peers for two days of top-notch education and networking.
Nashville Hilton Downtown
Nashville, Tenn.
To review the educational program: http://www.hmesummit.com/speakers.html
To register: https://www.b2bmediaportal.com/hmesummit/hmesummit.aspx
| | 13-17 Blue Ridge Symposium | Four conferences in one week. Choose your specialty or area of interest: Sleep Conference; Asthma Education;Home Care Conference; Respiratory Care Conference
Earn at least six CRCE/CEUs everyday
Location: Blue Ridge Shadows, Front Royal, Va.
Visit us on the Web at: www.valleyhealthlink.com/brs
Contact us at: brs@valleyhealthlink.com
or Call (540) 536-8941
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| 6-7 JAMES 2010 Annual Conference | This year's theme: "Barriers to Boomers - How to Overcome and Prosper." The conference will be held at the Ocean Place Resort & Spa in Long Branch, N.J. FMI: www.jamesofnj.org.
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| 16-18 Medtrade | Georgia World Congress Center in Atlanta.
Medtrade connects the HME industry. Stay ahead of HME industry changes and find the latest tools to help your clients. Join us at the largest home medical equipment even in the western US as we bring more exhibitors, more ideas, and more products than ever before.
Visit www.medtrade.com for more information and to register.
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