When Does the 36-Month Oxygen Rental Period Restart? – HomeCareMag.com

The headline article is a nice little resource.  It’s a well-organized piece written by Jeffrey S. Baird.  In the article, the author answers the question to:

“Providers often ask: “Are there scenarios in which the HME provider can start over the initial 36-month rental period?” The answer is yes. The following will review each of these scenarios.”

Read the source article:  When Does the 36-Month Oxygen Rental Period Restart? – HomeCareMag.com


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Billion-Dollar Medicare Fraud Bust – FBI.gov

Read the full article:  Billion-Dollar Medicare Fraud Bust – FBI Announces Results of Operation Brace Yourself – FBI.gov

The FBI & DOJ targeted alleged schemes involving the payment of illegal kickbacks and bribes by DME companies in exchange for the referral of Medicare beneficiaries by medical professionals working with fraudulent telemedicine companies for back, shoulder, wrist and knee braces that were medically unnecessary. Some of the defendants allegedly controlled an international telemarketing network that lured over hundreds of thousands of elderly and/or disabled patients into a criminal scheme that crossed borders, involving call centers in the Philippines and throughout Latin America.

You might also be interested in:
Federal Indictments & Law Enforcement Actions in One of the Largest Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives Results in Charges Against 24 Individuals Responsible for Over $1.2 Billion in Losses – Justice.gov


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Budget neutrality dampens certain oxygen reimbursement | HME News

Budget neutrality dampens certain oxygen reimbursement | HME News

“These additional cuts for home oxygen therapy are certain to impact providers and patients in rural and other non-CBA areas,” stated AAHomecare in a bulletin. “Since CMS has repeatedly made it clear that they do not believe they have the statutory authority to address the budget neutrality offset, the HME community needs to make this a priority for advocacy efforts in the 116th Congress.”

Read the source article: Budget neutrality dampens certain oxygen reimbursement | HME News


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Innovative HME Retail Product Award Winners Make Their Case at Medtrade | HomeCare Magazine



“The purpose of the retail awards competition is to promote and recognize products that contribute to providers’ bottom lines though cash sales. Representatives from seven companies made their case to session attendees, who along with judges, voted on their top three choices.”

Read the full source article: Innovative HME Retail Product Award Winners Make Their Case at Medtrade | HomeCare Magazine

The top 3 HME retail products were:

  1. The Flyp Nebulizer from Convexity Scientific
  2. The DFree from Triple W—a wearable device that can track the progression of bladder movements (for incontinence) using non-invasive ultrasonic sensors
  3. The Jazzy Air 2 scooter from Pride Mobility

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Amazon in Talks with Xealth, Forays in to Medical Supplies – Nasdaq.com

Read the full article:  Amazon in Talks with Xealth, Forays into Medical Supplies – Nasdaq.com

“Amazon is striving to make the patient’s access to medical supplies easier and comfortable with the help of this project. Notably, this project will allow the doctors to prescribe medical products necessary for their patients after a surgery or in general cases through the hospital’s online portal.”

 


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OIG to CMS: Take stronger look at ‘place-of-service’ claims | HME News

“The report found:  For 72% of inappropriate claims, DME suppliers failed to correctly code the SNF as a facility. Instead, they coded the place of service as the beneficiary’s home, thus enabling the claims to bypass the edit that rejects separate payment for most DME provided at facilities. By definition, SNFs provide primarily skilled care and thus cannot be considered beneficiary homes.”

Read the full source article: OIG to CMS: Take stronger look at ‘place-of-service’ claims | HME News

Read the OIG report:  CMS Did Not Detect Some Inappropriate Claims for Durable Medical Equipment in Nursing Facilities


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California HMDR Laws for 2018

California HMDR Laws for 2018

New CA Home Medical Device Retailer (HMDR) Legislation – Effective January 1, 2018

Read the full text of the bill:   AB 1387, Arambula. Home medical device retail facility business: licensing: inspections.

The Sherman Food, Drug, and Cosmetic Law, among other things, prohibits a person from conducting a home medical device retail facility business in the state without a valid license from the State Department of Public Health. Existing law requires the department to inspect each place of business prior to issuing a license, and further requires the department to inspect each licensee at least annually.

This bill would modify, until January 1, 2023, the requirement for the department to inspect a licensed home medical device retail facility business if it is accredited, as specified, by an accreditation organization approved by the federal Centers for Medicare and Medicaid Services. If so accredited, the bill would authorize the department to conduct an inspection only upon a complaint made to the department regarding the licensee. For a licensee that is not so accredited, the bill would continue to require the department to conduct an inspection at least annually.

Source: The legislation above is referenced on the CA HMDR Program website


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FDA Steps in to Regulate Microneedling Devices | RAPS

“The US Food and Drug Administration (FDA) on Thursday issued a draft guidance detailing when it considers “microneedling” products to be medical devices and subject to regulation.”

Read the full article – Source: FDA Steps in to Regulate Microneedling Devices | RAPS

Read the guidance:  Regulatory Considerations for Microneedling Devices – FDA (PDF)


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Medicare Accounts for 16% of HME Spending — HME Business

“Another data point shows just how greatly Medicare’s importance as a revenue driver for HME has dropped. In addition to Medicare’s 16 percent share, Medicaid accounted for 15 percent of HME spending, and all other sources, such as private payer and retail sales, represented 68 percent of HME spending.”

Read The Full Source: Medicare Accounts for 16% of HME Spending — HME Business


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Training program for California HMDR Exemptee license applicants

Training program for California HMDR Exemptee license applicants

HMDR License Applications

CA Home Medical Device Retailer (HMDR) License Applications: 1) HMDR Exemptee Application, 2) HMDR California Facility License Application, and 3) HMDR Out-of-State Facility License Application.


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