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      Slumping sales, rising freight costs batter Invacare

      ELYRIA, Ohio -- Invacare's share price dipped by 16% July 6 on news that lower-than-expected sales and higher freight costs would prevent the company from meeting its earnings goals for the second quarter.

      It was the deepest one-day divot for Invacare in nearly two years. By Friday afternoon, the stock had recovered several percentage points but was still trying to crest the $40 mark. The company's shares had closed Tuesday at nearly $45 per share.

      The company expected to miss its earnings per share by about 16 cents. Six cents of the shortfall, according to Invacare CEO Mal Mixon, could be traced to higher freight costs. He blamed 10 cents of the miss on lower revenues.

      In terms of sales, Invacare had expected to grow by 6% in the second quarter, but realized a 3% gain.

      "Most of it is the K0011 problem," said Mixon. "Even though the government has redefined the definition, they haven't clarified the CMN, they haven't clarified the supporting documentation, and they haven't clarified the pricing on the 49 new codes."

      At Pride Mobility Products, President Dan Meuser echoed Mixon's frustration with freight costs and the K0011 power wheelchair market, calling the current level of business in the sector "unnaturally low."

      Although the industry generally welcomed the recent national coverage determination on power wheelchairs, the NCD was not the last word on the subject.

      "They put out a policy that looks good, smells good and feels good, but it's somewhat hollow without the regs," said Meuser.

      Both Meuser and Mixon expect a rebound in the K0011 market after CMS turns out the remaining clarifications.

      "We're continuing to talk to CMS, to beg and plead and lobby them to get this over with, and get the instructions out there," said Mixon. "The small guys are afraid to prescribe a chair because they are afraid they will get it denied, with the patient is already in it."

      The day after Invacare's bad news, Sunrise Medical issued a buoyant press release of its FY 2005 results. Sunrise, a privately held company that's under no obligation to publicly report its financials, said its North American sales jumped by 6% over the previous year, largely thanks to the success of its Quickie wheelchairs and DeVilbiss respiratory products.

      "Sales for rehab power products were particularly strong showing a 13% annual increase," the release stated.

      The release promptly rubbed salt in the wounds of Invacare's second quarter. An official reacted to its rivals' news by pointing out that Invacare's sales for the preceding four quarters was 8.8%

      At the same time Invacare is dealing with stalled sales, the company is also lowering its power wheelchair pricing to remain competitive with other chairs coming in from China, said Mixon. But, while the top line has changed, the company's costs have not fallen as quickly. In response, Mixon is promising more manufacturing in China.

      "In the next six months, you are going to see a tremendous step-up," he said. "The plants are there, and the volume is growing daily so we'll see a lot of cost improvement."

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      HME News Info Center
      SOURCE BOOKS
      2010 Technology Special Report
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      HME 2008 State of the Industry
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      CALENDAR

      July 2010
      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.

      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.

      “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.

      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.

      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.

      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.

      “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.

      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.

      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.

      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.

      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.


      August 2010
      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.

      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.

      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.

      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

      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


      September 2010
      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

      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

      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


      October 2010
      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.


      November 2010
      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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