Archive: September 2016

WASHINGTON - The National Home Infusion Association has named Rep. Eliot Engel, D-N.Y., as the recipient of its Congressional Leadership Award. Engel is the lead sponsor of the Medicare Home Infusion Site of Care Act, H.R. 605, a bill that would require Medicare to pay for home infusion services and related supplies under Part B. “I have long been committed to closing the Medicare gap for home-based infusion care,” Engel said. “There is no reason to force patients battling cancer...

ROCKY HILL, Conn. - Numotion has joined the e-commerce market with the launch of its new online store, www.shopnumotion.com.“We serve people all across the country, some in very rural markets, that might not be near seating clinics or Abilities Expos,” said John Pryles, senior vice president of sales. “So we wanted to give them access and let them see what was available.”Numotion has kicked off its e-commerce efforts with SoftWheel, an adaptive in-wheel suspension system for...

I'm not going to lie. When I asked Rick Glass, who always presents the results of our Financial Benchmarking Survey at the HME News Business Summit, to put together a 10-year snapshot to recognize 10 years of the survey, I was a little worried about what'd I'd get back. As any of you know, a lot has happened to the HME industry in 10 years—a lot of it not good. And as any of you know, Rick is not one to sugarcoat reality. If it's bad, he's going to tell you it's bad. So I was pleasantly surprised...

NEWTOWN, Conn. - O2 Concepts has been named one of the top 50 places to work in southern Connecticut. Employees ranked the company's workplace extremely high in all areas of satisfaction as part of a survey by Hearst Connecticut Newspapers. “We are small enough to be nimble and responsive to customer needs, and everyone else is trying to catch up,” said one employee. O2 Concepts makes the Oxlife Independence Portable Oxygen Concentrator. In response to the award, the company...

WASHINGTON - HME stakeholders have House Speaker Paul Ryan's word that Congress will take up legislation that would retroactively delay a recent reimbursement cut in non-competitive bidding areas in a lame-duck session after the elections.“We've had some of our folks in leadership talk to Ryan directly and he has said that he's aware of the issue,” said Jay Witter, senior vice president of public policy for AAHomecare. “He said, 'We'll take care of it in the lame-duck session.'...

WASHINGTON - Industry stakeholders hope a recent meeting will open up a dialogue between Anthem Blue Cross Blue Shield and CPAP providers who have concerns with some of the insurer's requirements. Of primary concern: Anthem's benefits management company, AIM Specialty Health, requires providers to supply proof of patient compliance quarterly for the first year of treatment and annually thereafter. That frequency level can create access issues, and possible medical complications,...

WASHINGTON - Respiratory stakeholders have begun work to develop outcomes-based care models. Earlier this year, AAHomecare distributed a survey to respiratory stakeholders, exploring the possibility of developing a new payment methodology focusing on chronic respiratory management. After obtaining results, AAHomecare HME/Respiratory Therapy Council members and American Association for Respiratory Care executives met to begin to develop basic tenets for a chronic respiratory care model that is patient-focused,...

WASHINGTON - Respiratory stakeholders have begun work to develop outcome-based care models. Earlier this year, AAHomecare distributed a survey to respiratory stakeholders, exploring the possibility of developing a new payment methodology focusing on chronic respiratory management. After obtaining results, AAHomecare HME/Respiratory Therapy Council members and American Association for Respiratory Care executives met to begin to develop basic tenets for a chronic respiratory care model that is patient-focused,...

A. A home medical equipment supplier can protect its profit margins from recoupment by establishing a compliance culture that collects adequate documentation and submits proper billing claims, but it is equally important for a supplier's bottom line to defend and appeal erroneous Medicare recoupments.  Below are a few tips for defending claims from start to finish. Help Your Attorney Involving an attorney at the ADR letter stage is not always necessary, but a response that does...

A. There are several factors contributing to strong PEG interest. First, DME entrepreneurs are finding new ways to operate profitably. Second, there have been numerous “roll ups” of smaller DMEs within geographic areas. Third, PEGs have a lot of uninvested capital and are thus in search of opportunities in fragmented markets that have many small-revenue companies, like DME. In other words, PEGs believe there is growing opportunity in the DME market, even though the environment can be...