Archive: November 2015
Receivables management: Capture payment
November 25, 2015Keith Lilek
A. Because of competitive pressures insurance companies have been extending their payment period. Because the provider has no contractual relationship with the payer, there is no great urgency for payers to take care of the obligation, and the provider has no legal basis to fall back on. This puts the provider in a precarious situation that affects cash flow and patient relations. If the payer does not take care of the claim, the account ages and the chance of collecting from the patient is greatly...
Big names bring star power to home access market
November 25, 2015Tracy Orzel
Editor's note: Previously, we ran stories about former Numotion exec Paul Bergantino and National Seating & Mobility getting into this market. This week, we look at what it means when complex rehab's biggest names get into a market full force.
YARMOUTH, Maine - Even with two of complex rehab's biggest names entering the home accessibility market, HME consultant Bill Stelzer says there's more than enough business for everyone.
In October, National Seating & Mobility launched...
NCART urges action on accessories
November 25, 2015HME News Staff
WASHINGTON - The new fee schedule amounts released by CMS this week for non-bid areas include major reductions for accessories for complex rehab wheelchairs, according to NCART. Executive Director Don Clayback urges stakeholders to use the new pricing as a talking point with members of Congress to drum up support for bills in the House of Representatives and the Senate that would provide a technical correction preventing CMS from applying competitive bidding pricing to these accessories on Jan. 1....
Medical Service Company announces location, promotion
November 25, 2015HME News Staff
CLEVELAND, Ohio - Medical Service Company has opened its second new location this month, this time in Rochester, N.Y. The location will offer oxygen, respiratory and sleep equipment and services. Earlier this month, the provider opened a location in Crestview Hills, Ky. Medical Service Company has also promoted Judy Bunn to director of revenue cycle and compliance. Bunn also serves on several industry boards and councils, including as chairwoman of AAHomecare's regulatory council.
PBM buys into home infusion
November 25, 2015Theresa Flaherty, Managing Editor
EDEN PRAIRIE, Minn. - OptumRx's recent purchase of home infusion services provider AxelaCare Health Solutions gives the pharmacy benefit manager a platform for a more integrated model, say analysts.
“OptumRx already has a specialty component and this gives them the infusion component, as well,” said Reg Blackburn, managing director of specialty pharmacy and infusion services for The Braff Group.
OptumRx is part of healthcare giant UnitedHealth Group. Other buys by the company...
Trickle down effect
November 25, 2015Theresa Flaherty, Managing Editor
TROY, Ala. - When provider Jason Jones wanted to honor a deceased co-worker, he did so in a way that combined his two greatest passions: work and clean water.Mike Marler, a delivery tech for Jones Medical Supply, died of cancer in 2012. His employer recently donated a well in his name to a village in India.The $3,000 donation, which covered the cost of the well, its construction and its upkeep, comes from an event called WOD (Workout of the Day) for Water, which Jones co-founded. Every...
Liberator strengthens C.R. Bard's direct-to-consumer platform
November 25, 2015Theresa Flaherty, Managing Editor
STUART, Fla. - Liberator Medical got a “strong price” when it sold to C.R. Bard recently, analysts say.
Bard, a manufacturer of medical devices for vascular, urology, oncology and surgical specialty fields, agreed to pay $181 million for the provider of home medical supplies, including catheters, ostomy, diabetes and mastectomy.
“That's a very strong price for sure,” said Rick Glass, president of Steven Richards & Associates. “Without a distributor or middleman...
In brief: Overpayments persist for diabetes supplies, MedCare & Medical Service on growth streak
November 25, 2015HME News Staff
INDIANAPOLIS - The Office of Inspector General is not satisfied with National Government Services' progress in preventing overpayments for diabetic test strips.
The OIG found that NGS, the DME MAC for Jurisdiction B, made payments to suppliers for dispensed strips when the beneficiaries had not nearly exhausted previously dispensed strips by different suppliers, resulting in overpayments of about $3.2 million in 2013.
“NGS stated (in response to a previous review in 2007) that it...
ResMed Halifax gets rebate deal
November 25, 2015HME News Staff
HALIFAX, Nova Scotia - ResMed Halifax will earn a rebate of up to $787,500 over five years from the province of Halifax if it creates 40 new jobs, according to Nova Scotia Business. ResMed acquired the Halifax-based Umbian in 2012 and renamed it ResMed Halifax. Umbian is the developer of U-Sleep, a web-based software solution to track CPAP usage by long haul truckers.
Managed Care: Avoid seller's remorse
November 25, 2015Lynn Everard
A. As an HME provider you know that revenue is critical to your business. You also know that every activity that you or your staff engages in has a cost. Yet while HME providers typically know their product costs down to the penny, activity costs can be quite another matter. So when a new revenue opportunity comes along there is a huge temptation to price to win the business without taking all of one's cost into account. Of course, new business is exciting but that excitement can wear off quickly...