Tag: Hearing
In brief: Providers make their case, WHILL merges with Scootaround
August 23, 2019HME News Staff
WASHINGTON - Managed care plans, CRT reimbursement and coverage for breast prosthesis topped the list of concerns HME providers shared at an Aug. 19 Small Business Administration Regulatory Fairness Hearing.
Provider Georgie Blackburn said she's seen a significant impact on small businesses under Pennsylvania's managed care model for Medicaid, according to a bulletin from VGM.
“We have witnessed significant barriers to access for recipients in need for durable medical equipment,”...
HME providers testify at SBA hearing
August 22, 2019HME News Staff
WASHINGTON - Managed care plans, CRT reimbursement and coverage for breast prosthesis topped the list of concerns HME providers shared at an Aug. 19 Small Business Administration Regulatory Fairness Hearing.
Provider Georgie Blackburn said she's seen a significant impact on small businesses under Pennsylvania's managed care model for Medicaid, according to a bulletin from VGM.
“We have witnessed significant barriers to access for recipients in need for durable medical equipment,”...
Providers to SBA: Monitoring clipboards won't curb fraud
September 1, 2017Theresa Flaherty, Managing Editor
WASHINGTON - From accreditation to audits, HME providers let panel members at a Small Business Administration hearing last week know exactly how they feel about burdensome regulations.
For provider Craig Rae, the cost of maintaining accreditation ranks at the top of his list. He estimates one-third of his staff does nothing but scrutinize minutiae to meet the compliance standards set forth in six categories—the first of which has seven sections containing 113 separate standards requiring...
Providers appeal for help
May 20, 2016Theresa Flaherty, Managing Editor
PORTLAND, Maine - Providers from around New England took to the podium at a Small Business Administration hearing here last week, giving government officials and lawmakers an eye-opening look at what it's like to be in the HME business right now.
“I am here today to tell you that CMS's implementation of competitive bidding, capped rentals on home oxygen therapy and ongoing unnecessary audits…is as bad, if not worse, than what is going on with the Veterans Administration,”...
HOMES members warn SBA panel on bid impact
May 18, 2016HME News Staff
PORTLAND, Maine - Karyn Estrella, executive director of the Home Medical Equipment and Services Association of New England, and several HME providers from across New England testified May 16 at a Small Business Administration regulatory fairness hearing about the impact of competitive bidding and audits on their businesses and Medicare beneficiaries. One example given at the hearing: There is not a single provider in the six-state area that holds a Round 2 re-compete contract for nebulizers. "The...
In brief: 'Unreasonable' audits crippling providers, SGD bill passes
July 24, 2015HME News Staff
BOZEMAN, Mont. - The impact of audits and competitive bidding on rural providers was on the agenda at a roundtable held by the Small Business Administration last week.
HME providers and other stakeholders attended the roundtable discussion on Regulatory Enforcement Fairness and hosted by Brian Castro, SBA national ombudsman.
“These unreasonable and excessive audits from CMS are crippling to durable medical equipment providers in Montana,” said Andrew Jeske, CEO of American Seating...
'Unreasonable' audits crippling providers, SBA told
July 22, 2015HME News Staff
BOZEMAN, Mont. - The impact of audits and competitive bidding on rural providers was on the agenda at a roundtable held by the Small Business Administration yesterday.
HME providers and other stakeholders attended the roundtable discussion on Regulatory Enforcement Fairness and hosted by Brian Castro, SBA national ombudsman.
“These unreasonable and excessive audits from CMS are crippling to durable medical equipment providers in Montana,” said Andrew Jeske, CEO of American Seating...
Hearings held on audits, bidding
April 29, 2015Theresa Flaherty, Managing Editor
WASHINGTON - A pair of hearings this week shined another light on the HME industry's issues with audits and competitive bidding.
On Tuesday, the Senate Finance Committee held a hearing on Medicare audits and the difficulty that providers face appealing denied claims.
“When any Medicare contractor decides that a claim should not be paid, it has a real effect on beneficiaries and providers, which is why it is so important that the appeals process allow these appeals to be heard in a...
Industry testimony 'moves' SBA
June 27, 2014Liz Beaulieu, Editor
WASHINGTON - It wasn't the HME industry's first time testifying before the U.S. Small Business Administration (SBA) about overreaching regulatory burdens, but last week, something was different, stakeholders say.
“It was awesome,” said Peggy Walker, a billing and reimbursement advisor for U.S. Rehab, one of nine industry stakeholders to testify. “It was the best presentation we've ever done. I think we've finally gotten some attention.”
Stakeholders also...
In brief: Lawmakers introduce bid bill, SBA hosts stakeholders at hearing
June 20, 2014HME News Staff
WASHINGTON - Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn., have introduced a bill that would require providers to obtain bid bonds as part of future rounds of competitive bidding. H.R. 4920, the Medicare DMEPOS Competitive Bidding Improvement Act of 2014, would also require providers to prove they meet licensure requirements before they submit bids. “AAHomecare is putting the full weight of the industry behind this practical piece of legislation,” stated Tom Ryan, president and...