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Prior auth for Group 2 support surfaces squeezes hospital discharges

 - 
Thursday, May 30, 2019
Andrea Stark
reimbursement consultant, MiraVista

With CMS launching a new mandatory prior authorization program for group 2 support surfaces in July, suppliers are understandably concerned about accommodating patients with immediate needs for pressure support, particularly upon hospital discharge.

What’s new about the DME competitive bidding program? Everything!

 - 
Monday, May 6, 2019
By Cara Bachenheimer, Mark J. Higley, Robert Rankin and Dan Starck

Bob Dylan probably didn’t have durable medical equipment (DME) in mind when he sang “The times they are a-Changin.” But that memorable refrain could easily apply to Medicare’s DME competitive bidding program (CBP), which will implement a brand new process for bidding this June.
 

You say tomato, I say tomahto?

 - 
Monday, April 29, 2019

Is there a provider that doesn’t like a good lead? As long as it’s legal? (Which, BTW, is good question as we’ve learned from “Operation Brace Yourself.”)

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So, what’s on my desk, anyway?

 - 
Monday, April 8, 2019

The title of my blog is “On the editor’s desk” and, this time of year, what’s on the editor’s desk is…a lot.

Sure, there’s the usual detritus of coffee cups, water bottles, hand lotion, gum, desk planner, ear buds and post-it notes.

Spring has sprung and the stories are blooming

 - 
Thursday, March 21, 2019

The latest news cycle certainly kicked off with a bang! First, the latest update on the competitive bidding program, which features an aggressive timeline and added certain orthotics and non-invasive vents (vents! I tell ya!).

Deja vu

 - 
Monday, March 11, 2019

It certainly caught the attention of HME providers when CVS announced that CPAP masks would be among the products offered in three new HealthHub concept stores in the Houston area.

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What’s up with this ‘What’s Covered’ app?

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Thursday, January 31, 2019

CMS this week has made much ado about its new “What’s Covered” app that allows beneficiaries to see whether Medicare covers a specific medical item or service, which of course includes HME.

Chicken wings, beer and ... oxygen concentrators?

 - 
Monday, January 21, 2019

So apparently, the New England Patriots won the AFC East (am I saying that right?) last night.

The gamification of health care

 - 
Thursday, January 17, 2019

I know January is supposed to be a time of the-slate-has-been-wiped-clean optimism, but I’ve read a number of things in the first few weeks of 2019 that have left me feeling, well, despondent.

What are the surety bond requirements for DME?

 - 
Monday, January 14, 2019
Eric Weisbrot

Several million Americans rely on Medicare as their main source of health insurance coverage, particularly those over the age of 65.

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