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Archive: May 2014


Vendors

Permobil buys TiLite in bid to become 'solutions company'

May 30, 2014Liz Beaulieu, Editor

LEBANON, Tenn. - Permobil has acquired Pasco, Wash.-based TiLite in a move that the two companies believe creates a “dream team” in the complex rehab market.“It's the best of power and manual,” said David Boninger, vice president of communications for TiLite.The two companies, which have combined sales of about SEK 2 billion, will continue to operate and brand their products independently, company officials say.With the deal, Permobil takes another step toward becoming more...

acquisition, complex rehab, permobil, TiLite


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News

In brief: PMD spending down, F&P earnings up

May 30, 2014HME News Staff

WASHINGTON - Spending on power mobility devices (PMDs) continues to fall nationwide since the September 2012 launch of a demo requiring prior authorizations in seven states, CMS says. Monthly expenditures for PMD codes dropped from $12 million in September 2012 to $3 million in December 2013 in demo states, and from $20 million to $6 million in non-demo states across the same time period, according to an update.  “While we recognize that multiple factors contributed to the decrease in...

Brightree, CareTouch, Fisher & Paykel, PMD spending


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Also Noted

DME MACs update face-to-face guidelines

May 30, 2014HME News Staff

WASHINGTON - The DME MACs on May 29 revised a bulletin on the face-to-face requirement to add information clarifying who may perform the in-person visit and the responsibilities of the ordering physician. The face-to-face exam must be performed by a physician (MD, DO or DPM), physician assistant (PA), nurse practitioner (NP) or clinical nurse specialist (CNS) within six months of the written order for certain DME. The responsibilities of the ordering physician include: documenting that the beneficiary...

face-to-face rule


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Also Noted

Brightree, McKesson streamline ordering

May 30, 2014HME News Staff

ATLANTA - As part of a new integrated electronic purchasing program with McKesson, Brightree users can now view item item availability in real time; perform one-touch drop shipments; and receive automatic confirmations, including delivery notifications. “This enhanced strategic relationship for Integrated ePurchasing will continue to provide common customers significant time and cost savings that come with real-time integration,” stated Jeff Bowman, vice president of homecare sales for...

Brightree, McKesson, ordering, software


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Booth space at Medtrade going fast

May 30, 2014HME News Staff

ATLANTA - Medtrade has already booked most of its booth space for the Oct. 20-23 event in Atlanta, according to show organizers. As of May 29, 93% of space has been booked, and show organizers say they expect the remaining 7% to be sold in the coming months. In other news, show sponsor Emerald Expositions has teamed up with CloserStill Media and LiveMed to provide Medtrade exhibitors with an opportunity to reach new international markets through two new events: Trade Days in Birmingham, England,...

booth space, Medtrade, trade show


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News

Stakeholders say prior auths need to be timely, efficient

May 30, 2014Theresa Flaherty, Managing Editor

WASHINGTON - Although industry stakeholders are still combing through a plan to implement a prior authorization (PA) process for certain DME, they think it could be a good thing—with a few caveats.PAs can provide assurance that the criteria for medical necessity have been met and that the claim will likely stand up under an audits. Both mean the provider is more likely to get paid.“I think folks generally support it, but it's got to be done on a timely basis and it's got to be efficient,”...

over-utilized codes, prior authorizations, proposal


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Mobility

New proposal digs deeper into wheelchair codes

May 30, 2014Leah Hoenen

WASHINGTON - Certain wheelchair codes not included in the current PMD demo project could be included in a new prior authorization program recently proposed by CMS.Included in a “master list” of codes that could be included in the program are K4 lightweight manual wheelchairs and Group 3 power wheelchairs with power options. The PMD demo includes Group 3 power wheelchairs, but only those without power options, says Martin Szmal, founder of The Mobility Consultants.The list includes codes...

PMD demo, prior authorizations, wheelchairs


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Managed care monopoly?

May 30, 2014Liz Beaulieu, Editor

ORLANDO, Fla. - Industry stakeholders are taking issue with Univita Health's role as both a third-party administrator (TPA) and HME provider in Florida's transition to managed care for Medicaid.Univita has been chosen as the network administrator for 10 of the 14 plans participating in the program, representing roughly 84% of impacted Medicaid recipients. That means it decides which providers are allowed into its network and which get referrals, according to Deanna Rollyson, president of the Florida...

Florida Medicaid, managed care, monopoly


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News

CMS: PMD spending continues downward slide

May 29, 2014HME News Staff

WASHINGTON - Spending on power mobility devices (PMDs) continues to fall nationwide since the September 2012 launch of a demo requiring prior authorizations in seven states, CMS says.Monthly expenditures for PMD codes dropped from $12 million in September 2012 to $3 million in December 2013 in demo states, and from $20 million to $6 million in non-demo states across the same time period, according to an update.“While we recognize that multiple factors contributed to the decrease in PMD expenditures,...

CMS, PMD demo


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On the Editor's Desk

When will the M&A market for HME level off?

May 29, 2014Liz Beaulieu, Editor

Here's a sneak peek at The Braff Group Insider for the June issue. (Also, I want to apologize for misspelling peek in my last sneak peek...I hate it when I do that.) This graph breaks down transaction trends for the HME industry from 2009 through the first quarter of 2014. See a pattern? TBG Insider.png Commentary from The Braff Group: Based on proprietary data collected by The Braff Group, the 45-degree ramp up that began in 2010 has clearly reversed direction. Fifteen months...

M&A, The Braff Group, transactions


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