Data has always been a hallmark of the HME News Business Summit. Each year in our Financial Benchmarking presentation, providers see how they stack up against their peers in everything from net revenues to DSO to employee expenses.
In the last several weeks, there have been two CMS announcements, covered by national news organizations, in regard to Medicare fraud. The first is a physician in Los Angeles, Dr. Jacques Roy, charged with a $375 million Medicare scam. Yes, $375 million!
As we reach the one-year anniversary of pushing H.R. 1041 to eliminate competitive bidding, we now need all of our allies to include the market-pricing program (MPP) in their conversations to Congress.
We get emails all the time from HME providers and other stakeholders pointing stuff out. These emails often sit in my inbox for some time. They're interesting and noteworthy, but there's no way we can write stories about them all. So in an effort to clean out my inbox, I'm going to share a few of them with you here.
According to CMS, the Medical Review (MR) program is designed to promote a structured approach in the interpretation and implementation of Medicare policy. MR functions may include analyzing data; writing and reviewing local coverage determinations; reviewing claims and educating providers; comprehensive error rate testing; advance determination of Medicare coverage; probe reviews; supplier education; and medical review of claims not for benefit integrity purposes.