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HOme medical equipment

Make wellness part of culture

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04/25/2011

A. Congratulations to your company on starting a wellness program. This is an important step toward encouraging your employees to adopt lifestyles that are healthier, such as good nutrition, exercise and preventing the onset or worsening of serious health conditions. Workers are more likely to perform better when they are feeling well.

Long time HME provider throws in the towel

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04/25/2011

My name is Robert Brant and I am the co-owner of City Medical Services in North Miami Beach, Fla., in the Miami CBA. My business began in 1997 and we were Joint Commission accredited nine years before it was required.

Keep state associations on priority list

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04/25/2011

Has competitive bidding--a program that is expected to force numerous home medical equipment providers to cut their staff or close their doors--affected membership levels at state and regional associations?

Identify your audit focus

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04/25/2011

A. Last month, we focused on individual claim audits as a part of self audits. This month, we will focus on extrapolation audits. Although an extrapolation audit can be considered a self audit, it is strongly recommended that it be conducted under attorney-client privilege and under the direction of a health care expert. Before conducting an extrapolation audit, you should put a lot of thought into deciding whether or not the audit is needed. This is your first and most important step.

Massachusetts: Providers stave off vent cut

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04/25/2011

"BCBS reached out to us to really understand the issue and reversed their decision," said Brian Simonds, director of Springfield-based Baystate Home Infusion and Respiratory Services.

Premier opens third retail location

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04/25/2011

LOUISVILLE, Ky. - The demand for health care is going to keep growing, and Premier Home Care plans to grow right alongside it. In February, the provider opened its third retail location.

Letters to the editor: Why didn't the industry band together?

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04/25/2011

I am a small voice, a small, independent DME supplier in Katy, Texas, just west of Houston. Please help me to understand how those suppliers who have been through competitive bidding and were awarded contracts by severely underbidding (in hopes this would go away) help our industry. Those who have underbid have only hurt those of us small DMEs who will be going through the process in Round 2. My company can't compete.

Letters to the editor: Beneficiaries get left out in this welfare state

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04/25/2011

To start, we are not a contracted provider in any of the competitive bidding areas. However, we have entered into several sub-contracting arrangements in areas that were critical to us, albeit, at lower but still somewhat profitable rates. We are turning away patients in other areas, as well as a significant amount of our service and repairs.

Select the right products

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04/25/2011

A. While there are many things involved in setting up an e-commerce site, such as configuring your merchant account to handle online transactions and selecting a technology platform, the most important decision is selecting the right products to sell. While you can hire someone to manage everything else, you should choose the products. Think of your site as a chance to expand your showroom.

Consider consequences over costs

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04/25/2011

A. Deciding to obtain professional assistance with an appeal is definitely an economic decision. However, many suppliers are unaware of the far-reaching consequences that can occur from losing an appeal. For the past 16 years, I have seen suppliers with either a local or national presence lose appeals because of a lack of expertise. Hiring a professional is often cost prohibitive because of the claim amounts. Over the years, I have learned that Medicare has an unspoken protocol to increase audits when a supplier does not successfully defend claims in an appeal. This means paying $5,000 to defend a $15,000 appeal is worth it to prevent the audit of additional records, which could result in a large overpayment.

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