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Smart Talk


Adam Nadler

Smart Talk

Operational efficiency: Embrace the new way

June 12, 2024Adam Nadler

Q. Why is implementing modern digital solutions essential for industry efficiency?  A. Our industry faces a critical efficiency challenge: the continuous mountain of time-consuming, error-prone administrative tasks. Traditionally, medical record review, patient eligibility verification against intricate and ever-changing payer rule sets, and claims submission required manual performance. Such operational inefficiencies lead to delays in care, financial loss and increased frustration by suppliers...

Adam Nadler, CompliantRx


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Kaitlyn Rios

Smart Talk

Value-based care: Keep focus on end user

June 12, 2024Kaitlyn Rios

Q. What can HME companies do to differentiate themselves to payers in terms of supporting value-based care?  A. Remember: Value-based care is generally defined as a shift from traditional fee-for-service payment models to a provider payment system that supports quality improvement and cost-effective care to ensure successful health outcomes and experiences for patients. Various iterations of this model are already in effect in some market segments, while others are still actively updating...

Kaitlyn Rios, Value-Based Care


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Alex Hoopes

Smart Talk

Hospital-at-home: Ensure integrity of supplies

June 12, 2024Alex Hoopes

Q. How are hospital-at-home supply chain logistics different than in brick-and-mortar health care?    A. In a traditional hospital setting, large trucks make deliveries to facility loading docks on routine schedules. These products are then stored all over the hospital in patient rooms and storage closets. If a patient needs a product and it is not already in the hospital room, a nurse can easily walk down the hall to a supply closet to get what they need.   With hospital-at-home...

Alex Hoopes, Cardinal Health, hospital-at-home


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Mary Ellen Conway

Smart Talk

Accreditation/Compliance: Check those licensure requirements

June 12, 2024Mary Ellen Conway

Q. Am I able to ship refills or supplies to my current patients if they temporarily relocate out of my service area for the summer or winter?   A. You can only ship items to patients where you have a state issued license for DME. Your clients who temporarily relocate may need to get refills, but unless you have an out-of-state license in that state, you cannot ship their refills to them.   You can avoid this problem by asking the client if they have someone who is forwarding...

Accreditation, Capital Healthcare Group, Mary Ellen Conway


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ST Nadler

Smart Talk

Operational Efficiency: Offload tedious tasks

May 8, 2024Adam Nadler

Q. AI is all the buzz right now. How can we address concerns about AI replacing human jobs in DME?  A. In the world of DME operations, AI gets a lot of hype for its flashiness rather than its real benefits. But it’s not about replacing jobs – it’s actually a powerful tool that enhances human skills and boosts how efficiently we can work.  AI excels in automating the tedious, repetitive tasks that bog down the DME review process. It quickly detects errors and...

Adam Nadler, Artificial Intelligence (AI), CompliantRx


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Kaitlyn Rios

Smart Talk

Value-based care: Be prepared and nimble

May 8, 2024Kaitlyn Rios

Q. How is the shift to value-based care payment models impacting HME companies?  A. The better question is, "How will it not?"  With clinical providers focused now more than ever on patient outcomes and satisfaction, it means they must maximize resources, they must aim to treat patients more effectively and efficiently in shorter time frames, they must work under tighter insurance reimbursement margins, and they must make every effort to reduce the overutilization of products...

DermaRite Industries, Kaitlyn Rios, Value-Based Care


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Alex Hoopes

Smart Talk

Hospital-at-home: Ensure supplies fulfillment

May 8, 2024Alex Hoopes

Q. What does a hospital-at-home program need to succeed?    A. Hospital-at-home is one of the most effective care models I’ve seen to achieve the triple-aim of helping improve patient outcomes and patient experience while decreasing costs. At least one study in 2020 has shown that hospital-at-home costs are less than costs accumulated for patients in a traditional setting.   While we’re on an exciting horizon for home-based health care, for hospital-at-home to succeed...

Alex Hoopes, Cardinal Health, hospital-at-home


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Mary Ellen Conway

Smart Talk

Accreditation/compliance: Maintain complaint log

May 8, 2024Mary Ellen Conway

Q. Why does my accreditor tell me that they or CMS may conduct an unannounced survey anytime during my three-year accreditation cycle and how common is that?   A. When the accreditation mandate began for DME in 2008, the DMEPOS accrediting organizations (AOs) that were approved by CMS for Medicare participation had a requirement to inform their accredited organizations that they would be subject to having an additional unannounced survey by the accreditor or by CMS at some point during...

Accreditation, Capital Healthcare Group, Mary Ellen Conway


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Wayne Hudson

Smart Talk

Workflow Optimization: Don’t just survive, thrive

April 17, 2024Wayne Hudson

Q. Why is choosing the right technology partner important?  A. In the fast-paced landscape of DME, finding the right technology partner can be the difference between thriving and merely surviving. DME providers must select partners that offer a commitment to innovation, cost-effectiveness, responsiveness and scalability. Here's why selecting a technology partner is crucial, along with red flags to watch for.  Stagnation in product innovation can spell doom for DME providers looking...

NikoHealth


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Ike Isaacson

Smart Talk

Government Relations: Speak with one voice

April 17, 2024Ike Isaacson

Q. How do we enhance our message? A. When we speak together, we improve the health care landscape. We demonstrate that we are a trustworthy and dependable source of information and expertise, and that we represent a large and diverse group of stakeholders who all care deeply about the DMEPOS industry and those we serve. This collective voice pushes back on any negative or false claims that may come from other interests or groups.  We increase the awareness and recognition of the DMEPOS...

Ike Isaacson, VGM & Associates


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