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Archive: 2012


Mobility

RAC power wheelchair probes draw ire

December 28, 2012Elizabeth Deprey

ATLANTA - A recent surge of audits in Jurisdiction C are targeting “low-lying fruit,” older claims that are more likely to have problems, say consultants. RAC auditor Connolly Healthcare in the past few months has focused audits on power wheelchair claims from 2009 and 2010. “Instead of randomly picking claims to see if providers are doing things correctly, they're really going back in time—thinking that if they go back (further) they have a better chance of recouping...

Audit, Recovery Audit Contractor (RAC)


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Specialty Providers

Membership has its privileges

December 28, 2012Theresa Flaherty, Managing Editor

BOCA RATON, Fla. - American Diabetes Services wants to be the online Costco of the HME world. So in November, the online provider launched supportplusmedical.com, a membership-driven store that accepts no insurance. The annual memberships—MedVantage and MedVantage Plus for consumers, and MedVantage Pro for healthcare professionals—offer discounts and cash-back rewards on purchases. Memberships cost $35, $55 and $110, respectively, and all have a 30-day free trial. “The market...

Diabetes


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Specialty Providers

OIG rejects sleep proposal

December 28, 2012HME News Staff

DARIEN, Ill. - It's back to the drawing board for the American Academy of Sleep Medicine (AASM) in its efforts to expand the role of physicians in sleep therapy.The association in 2011 submitted a proposal to the Office of Inspector General (OIG) seeking to create a safe harbor that would allow board-certified sleep physicians to perform and interpret sleep tests and provide CPAP devices to patients. On Nov. 27, the OIG said “no.”“OIG is not adopting the suggestion to promulgate...

American Academy of Sleep Medicine (AASM), CPAP, Sleep Therapy


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Business Development

Category development: Scooters

December 28, 2012John Andrews

RIPE FOR RETAILScooting ahead: Scooters are tailor-made for retail sales, and HME providers can make the transition with little expense or disruption. The biggest adjustment, manufacturers say, is changing the mindset to think like a consumer.SOFT SELLSubtlety required: Scooters aren't widgets, so providers must use restraint and finesse in dealing with clients. Consumers are looking for a consultant, not a sales agent, to help them select the right model for themselves.THE RIGHT MIXScooter...

Retail, scooters


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Vendors

In wake of agreement, new normal for Invacare, providers

December 28, 2012Liz Beaulieu, Editor

ELYRIA, Ohio - A Dec. 21 agreement with the Food and Drug Administration (FDA) will limit operations at Invacare's Taylor Street manufacturing facility, but HME providers will still have access to the manufacturer's manual and power wheelchairs, says Gerry Blouch, president and CEO.Invacare may continue to manufacture and distribute wheelchairs and seating systems under certain conditions: when a patient requests the same or newer version of an existing product and the clinician submits a form acknowledging...

Invacare


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Editorial

Do you know these repeat offenders?

December 28, 2012Andrea Stark

Gaining insight into the procedures that are most commonly denied by payers and evaluating the reason codes that accompany the denials can help suppliers modify their clinical documentation and billing practices to prevent denials, reduce claims rework, and improve their cash flow.Below are the top five most commonly denied procedures for HME providers during the time period between May 28, 2012, and Aug. 27, 2012. The data was compiled from the RemitData database that houses 25% of all national...

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Vendors

Invacare doubles down on HME

December 28, 2012Liz Beaulieu, Editor

ELYRIA, Ohio - Invacare has decided to sell Invacare Supply Group (ISG) because it was “incompatible” with its core business of manufacturing home medical equipment, says Gerry Blouch, president and CEO.While ISG has been posting solid numbers, Invacare felt that to fully optimize the business it would have had to sell supplies direct to patients, in addition to selling them to HME providers, he said.“While that type of arrangement can co-exist for someone just doing supplies, it...

AssuraMed, GS Capital Partners, Invacare, Invacare Supply Group


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Vendors

Providers react: 'We're not going to help them'

December 28, 2012Liz Beaulieu, Editor

MURRYSVILLE, Pa. - Philips Respironics may have every right to sell replacement supplies for CPAP devices through Kroger retail pharmacies, but that doesn't mean HME providers have to like it one bit. “My first reaction was outrage,” said Jamie Blair, vice president of Genesis Respiratory Services in New Boston, Ohio, and a respiratory therapist. “It's another competitor I have to deal with.” Providers have consulted the Ohio Respiratory Care Board, but it doesn't...

CPAP, Genesis Respiratory Services, Kroger, Med-Ox Home Medical, Pharmacy, Philips Respironics


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Specialty Providers

Rearview 2012: Sleep, diabetes feel squeeze on all sides

December 28, 2012Theresa Flaherty, Managing Editor

Sleep therapy is such a booming business that it's hardly surprising sleep-related stories once again dominated the specialty provider sector in 2012. However, unlike with 2011, which saw a handful of potentially positive changes for providers, this year's top sleep stories highlight various encroachments on the market.Far and away, the biggest issue was CMS's requirement that providers prove supplies are “non-functioning” before they can replace them (“CMS does about-face on re-supply...

Competitive Bidding, CPAP, Diabetes, Sleep


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Smart Talk

Balanced scorecard: Define your strategy

December 28, 2012Tom Cesar

A. When designing a balanced scorecard, start by asking: “What is our strategy?” To answer this question, the first step is doing a SWOT analysis, or another similar scanning assessment, followed by evaluation of issues, forecasting and goal setting.The strategic goals that you set represent the four key components of finance—customer, internal processes, learning and growth—that make up the balanced scorecard. It is crucial that you write clear objectives for evaluating actual...

Balanced Scorecard, Home Medical Equipment (HME)


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