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Adrift: A Panel Discussion on the Philips Recall

Online

Original Event Date: Wednesday, July 28, 2021 ~ 1:00PM - 2:00PM

On June 14, 2021, Philips Respironics recalled nearly 4 million of its CPAP, BiPAP, and ventilation devices. The manufacturer estimates it could take a year to replace or repair the affected equipment, and the pandemic-strained global supply chain cannot do much to expedite the process. Limited guidance since the announcement leaves suppliers, clinicians, and patients to plot their own course between now and then.

Fortunately, we don’t have to figure it out individually. We can leverage our shared perspectives and experiences to find our way. Join us for this free event sponsored by HME News and MiraVista, LLC.

The panel comprises expert perspectives from across the industry:

  • ​Jeffrey Baird, Brown & Fortunato (Legal)
  • James Graham, Renaissance Medical, LLC (Supplier)
  • Tim Safley, Accreditation Commission for Health Care (Accreditation)
  • Andrea Stark, MiraVista, LLC (Reimbursement)
  • A representative from the American Academy of Sleep Medicine (Clinical)

Register soon! Spaces for the live event are filled, but all registrants will get a link to view the recording.

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Clearing the air: Proposed changes to Medicare's oxygen coverage

Online

Original Event Date: Thursday, July 22, 2021 ~ 1:00PM - 2:00PM

Clearing the air: Proposed changes to Medicare's oxygen coverage Image

In its recent proposal to modify the national coverage policy for home oxygen use, CMS extends coverage beyond beneficiaries suffering from documented chronic lung disease. In addition to increasing access to patients suffering from other types of respiratory distress, the changes could finally synchronize reimbursement policy with prescribing physicians’ determinations for medically necessary treatment.

On the other hand, changing nearly two decades of procedure and habit is bound to raise some issues:

  • How do suppliers distinguish between chronic and acute patients for proper billing?
  • How do proposed documentation changes affect audit risk?
  • Do the proposed changes increase administrative costs?

In this session, Andrea will tackle the questions above by exploring:

  • Oxygen as a covered treatment for acute conditions.
  • Elimination of CMNs for initial qualification and recertification.
  • Risks associated with increased reliance on supplier judgement.

CMS is accepting public comments for the next several weeks. To provide substantive feedback, suppliers need to consider how the proposed changes might affect daily operations, cash flow and risk. 

Presented by: Andrea Stark (MiraVista)
​Moderated by: Liz Beaulieu (HME News)

Cost: $149.00 (includes live webcast and recording)

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Drive operational excellence by putting the patient first

Online

Original Event Date: Tuesday, June 1, 2021 ~ 2:00PM - 3:00PM

Drive operational excellence by putting the patient first Image

Engagement is key to both operational excellence and exceptional patient care - and it starts with your employees. Whether your team is remote or in-office, patient expectations have changed due to the pandemic, and they’re impacting day-to-day processes.
Join President and Co-founder of Citus Health, Melissa Kozak, and Brightree Patient Experience Product Manager, James Yi, to hear how providers are leveraging digital tools to optimize staff productivity, empower secure communication and automate low-touch activities. 
Attend this webcast to:
•    Identify what workflow interoperability supports agile just-in-time collaboration
•    Get insight on how automated touchpoints support staff to give better patient care
•    Learn how to evaluate solutions that enhance both the patient and employee experience for better business outcomes and patient loyalty

Presenters: 
Melissa Kozak, President and Co-founder, Citus Health
James Yi, Patient Experience Product Manager, Brightree

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Hey...Where's my pump?!

Original Event Date:

Original Event Date: Wednesday, March 17, 2021 ~ 2:30PM - 3:30PM

Hey...Where's my pump?! Image

How many times have you heard from a patient or employee, "Where's my pump?" Do you know how many enteral pumps you own? Do you know where they all are? How many enteral pumps did you lose last year? Do you monitor utilization?

During this webcast, we’ll share with you how to become more efficient with stocking, servicing and tracking your devices, like ventilators and enteral pumps. By attending this webcast, you’ll learn ways to drive cost savings, promote efficiency and improve compliance by :

  • Having access to comprehensive patient-ready devices
  • Properly maintaining and servicing equipment 
  • Automating your inventory, including compliance, service/maintenance schedules
  • Managing your inventory through device utilization monitoring and auto replenish using PAR levels

Presenters:
Dylan Ross, VP/GM, Biomedical Solutions, McKesson
Mike Harnois, Manager of Training & Implementation, Technology Solutions, McKesson

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2021 Look Ahead for DME Suppliers

Original Event Date: Thursday, February 4, 2021 ~ 1:00PM - 2:00PM

Pick your metaphor: tornado, flood, forest fire. No one is shedding tears at the passing of 2020.

There is, however, a silver-lining. A new year is an opportunity for a fresh start with the experience and wisdom to make the most of it. Hello, 2021!

To help DME suppliers thrive in the brave new world, Andrea Stark (MiraVista), Jeff Baird (Brown & Fortunato), and Moderator Liz Beaulieu (HME News) are hosting the 11th annual 2021 Look Ahead for DME Suppliers.

In this session, the trio spotlights:

  • Provider Relief Fund reporting deadlines and potential liabilities.
  • New risks (and opportunities) related to the Stark anti-kickback laws.
  • Audit developments, including pandemic respiratory claims and the return of TPE.
  • Exit strategies for the end of the public health emergency.
  • The future of telehealth.
  • Anticipated changes to ventilator coverage and reimbursement rates.
  • The 2021 competition’s impact on the next round of bidding.
  • … and much more!

After the presentation, attendees have open access to the presenters’ expertise during the live Q&A session. See you there!

Cost: $149 (includes live webcast and the recording)

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The 2021 State of the (DME) Rate Address | MiraVista, LLC

Online

Original Event Date: Thursday, November 12, 2020 ~ 1:00PM - 2:00PM

The 2021 State of the (DME) Rate Address | MiraVista, LLC Image

Join MiraVista's Andrea Stark and moderator Liz Beaulieu, HME News, for The 2021 State of the (DME) Rate Address. In this session, Andrea will:

  • Recap Round 2021 competitive bid developments
  • Summarize the rate determinations included in the 2021 DME Final Rule
  • Relate guidance to 2021 reimbursement rates for rural, non-rural, and competitive bid areas

Presenter(s):
Andrea Stark, MiraVista

Moderator(s):
Liz Beaulieu, editor of HME News

Cost: $149

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Get respiratory suppliers ready for the return of Medicare audits

View Online

Original Event Date: Thursday, August 13, 2020 ~ 1:00PM - 2:00PM

Get respiratory suppliers ready for the return of Medicare audits Image

Make no mistake: CMS is chomping at the bit to resume medical review, prior authorization and other enforcement actions to root out bad actors. As it stands, they plan to resume business-as-usual on Aug. 3, 2020.

CMS will scrutinize the claims suppliers are creating today, particularly those with the CR modifier, indicating application of the relaxed enforcement standards during the public health emergency. That is why suppliers must:

  • Adapt intake and eligibility processes to properly apply the relaxed standards.
  • Incorporate CMS’s rapid-fire changes and clarifications.
  • Prepare for re-entry to regular eligibility, documentation and review standards.

Is your staff properly applying the modified standards currently in place? Can your claims withstand the coming audits? Do you have a post COVID-19 plan?

To ensure your house is in order before the inevitable CMS inquiries begin, join us to learn to:

  • Screen respiratory product orders and medical records using the pandemic-relaxed medical necessity threshold.
  • Include the correct modifiers (e.g. CR and KX) and narratives for successful claim processing.
  • Transition pandemic patients when the relaxed standards end.
  • Develop an audit response strategy to avoid recoupments (or worse).

Presenter(s): Andrea Stark, MiraVista

Moderator(s): Liz Beaulieu, editor, HME News

Registration: 
Register now!

Location: Online
Cost: $99

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The key to clean claims: Optimizing revenue by minimizing denials

View Online | Original Event Date

Original Event Date: Thursday, July 16, 2020 ~ 2:00PM - 3:00PM

The key to clean claims: Optimizing revenue by minimizing denials Image

Patient eligibility. Insurance verification. Document gathering. These are all steps in the order-to-cash process that help to ensure a clean claim.  While seemingly straightforward and easy to accomplish, these steps can be difficult and often cause denials. In this webcast, Miriam Lieber will discuss challenges in first-time claim payment, and how to manage accounts receivable, track denials and train for future prevention. Knowing the root cause of denials, working to resolve them, finding the strongest staff members to work these tasks, and optimizing automation and reporting all contribute to maximizing net revenue. In this webcast, Miriam will:

  •     Discuss how insurance eligibility and verification has changed
  •     Examine the employee skill sets required to maximize payment
  •     Explore ways to work AR by managing denials and minimizing write-offs

Presenter(s):
Miriam Lieber, Lieber Consulting LLC

Moderator(s):
Liz Beaulieu, HME News

Cost: Free

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COVID-19 & HME: Chapter 2: An Update on CMS's Interim Final Rule and Other HME Policy Changes

On Demand

Original Event Date: Tuesday, April 7, 2020 ~ 1:00PM - 2:30PM

Late on March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released three important documents relaxing many requirements to facilitate providing care to Medicare beneficiaries in their homes during the current COVID-19 public health emergency. Join industry leaders to get the latest information about these changes, including: 

  • Suspension of certain respiratory-related coverage policies
  • Beneficiary signature documentation requirements
  • Face-to-face encounter requirements
  • Medical review activities

We'll also cover the DME provisions in the recently passed CARES law, including payment in non-competitive bid areas and expansion of practitioners who can prescribe DME under Medicare and Medicaid.   In this webinar, you will get the latest information to help HME providers effectively manage through this COVID-19 pandemic. Discussion topics will include:

  • CMS suspension of national and local coverage determinations
  • Suspension of some face-to-face encounter requirements
  • Waiver of signature requirements on proof of delivery
  • Suspension of prior authorization
  • Further expansion of telehealth
  • Suspension of medical review activities
  • DME payment in non-competitive bid areas
  • Expansion of practitioners who can prescribe DME under Medicare and Medicaid, during and beyond the public health emergency
  • Acceleration of Medicare payments during the COVID-19 PHE

Good News: Due to the high response from our first COVID-19 webcast, we’ve upped our registration capabilities and can accommodate 3,000 live webcast attendees! Thank you to AAHomecare and Brown & Fortunato for making this possible!

Hosted by: American Association for HomeCare; Brown & Fortunato, PC; HME News; Lieber Consulting; and The van Halem Group, A Division of VGM 

Presenter(s): 
Cara Bachenheimer, Brown & Fortunato Kim Brummett, AAHomecare Miriam Lieber, Lieber Consulting Wayne van Halem, The van Halem Group, a Division of VGM

Moderator(s): 
Liz Beaulieu, Editor, HME News

Cost: 
Free

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COVID-19 & HME

On Demand

Original Event Date: Thursday, March 26, 2020 ~ 1:00PM - 2:00PM

A Dialogue — What we know and what we don’t know
Originally aired March 26, 2020

As everyone knows, in today's COVID-19 emergency, things are changing by the minute. HME providers are on the front line of patient care and are serving an invaluable role in keeping patients out of hospitals. Join industry leaders to get the latest information at the federal level, as well as the state and local levels. In this webinar, you will get the latest facts to help you and your employees effectively manage through this COVID-19 pandemic. You'll also learn what changes will be coming soon. Join us for a lively discussion!

Discussion topics will include:

  • What changes can CMS make?
  • What changes has the industry asked for?
  • What changes can CMS not make?
  • What changes has CMS made? (e.g. telehealth)
  • What role do the states play?
  • What are state Medicaid programs doing?
  • What about commercial payors?
  • The importance of keeping patients at home to avoid overloading hospitals
  • Operational considerations for the HME community
  • Protecting your patients and employees
  • Preparing for rapid and emergent growth

Presenter(s): 
Cara Bachenheimer, Brown & Fortunato
Kim Brummett, AAHomecare
Miriam Lieber, Lieber Consulting
Wayne van Halem, The van Halem Group, a Division of VGM

Moderator(s): 
Liz Beaulieu, Editor, HME News

Cost: 
A free webinar for the HME Community

Brought to you by: 
American Association for HomeCare; Brown & Fortunato, PC; HME News; Lieber Consulting; and The van Halem Group, A Division of VGM

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Uncover the biggest trend in Personal Emergency Response Systems (PERS)

On Demand

Original Event Date: Tuesday, March 3, 2020 ~ 2:00PM - 3:00PM

Uncover the biggest trend in Personal Emergency Response Systems (PERS) Image

The PERS market is hungry for something new and is ready for an easy-to-use fall detection device that seniors don't have to wear or press a button when in need. Seniors—and their families—want to have the peace-of-mind that fall detection solutions provide, but don't want the hassle of using wearables and pendants. 

Register to learn how to differentiate yourself from your competition and open new markets, such as senior housing facilities, assisted living facilities, nursing homes and more. To grow your business, you must innovate your product line and open new markets to scale your sales. 

Join this FREE webinar to learn how to:

  • Grow revenues with your existing PERS customers
  • Successfully enter new markets and sell to new audiences
  • Learn the #1 tip that our channel network uses to sell to B2B customers
  • Participants will also have the chance to take part in a Q&A session with Marc McGrann from Vayyar and Lindsey Gafford from Parks Associates.

Marc has introduced four, multi-million dollar products to the PERS industry and has worked with PERS dealers throughout the U.S. for nearly a decade. 

Lindsay specializes in connected health and independent living research, and has authored reports covering topics such as PERS market trends and competitive landscape.

Presenters:
Marc McGrann, director of business development, Vayyar
Lindsay Gafford, research analyst, Parks Associates

Sponsored by: Vayyar 

Cost: Free

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2020 Look Ahead For DME Suppliers

On Demand

Original Event Date: Thursday, February 6, 2020 ~ 1:00PM - 2:00PM

2020 is the Year of the Rat, the first year in the 12-year cycle of the Chinese zodiac. Maybe not cuddly, but the rat gets first billing because it is an animal with spirit, wit, alertness, and flexibility. In the spirit of wit, alertness, and flexibility, Andrea Stark, Jeff Baird, and moderator Liz Beaulieu are hosting the 10th Annual Look Ahead for DME Suppliers. That is a whole decade of approachable knowledge and strategy that connects with attendees! Year after year, attendees tell us they will use the information from Look Ahead and relay it to their peers.

A few of the topics we plan to cover include: 

  • Competitive Bidding Round 2021: What happens now?
  • Standardizing Written Orders (required for all 2020 deliveries).
  • Rural Rate Decreases?
  • CMS-mandated 6-year self-audits for single-claim audit samples. (Booooo!)
  • Relaxed Stark laws and anti-kickback statutes.
  • Tackling closed managed care plans.

After the presentation, Andrea, Jeff, and Liz will host a live Q&A. We can’t wait to see you there!

Cost: $149.00

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