HME News

APR 2017

HME News is the monthly business newspaper for home medical equipment providers. This controlled circulation publication reaches 17,100 home medical equipment services providers, including traditional HME dealers & suppliers, hospital- and pharmacy-o

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Presenter: Moderator: Andrea Stark, DME consultant, MiraVista Liz Beaulieu, editor, HME News Smart Talk hme news / april 2017 / 11 i nter O pera B ility a ut O mati O n BROUGHT TO YOU BY: Presenter: Moderator: Andrea Stark, DME consultant, MiraVista Liz Beaulieu, editor, HME News New Webcast Reserve your spot now: Cost: $99 Medicare Appeals: New Initiatives Make Process Relevant Again The Medicare appeals system is nerve-wracking. Is it any wonder suppliers feel challenging audits is a wasted effort? But thereÕs good news. Recent court cases are putting real pressure on CMS to reduce the backlog and streamline Medicare appeals. Moreover, CMS is restoring relevance to the audit process with several appellant-friendly innovations designed to get reasonable results in a timely matter. One example: a program that is delivering an 80% success rate for DME suppliers in the demonstration phase. Attend our jam-packed webcast to learn: • Appeal options when claims deny • Current appeal innovations that could fundamentally improve supplier outcomes • New initiatives to curtail the atrocious ALJ backlog • And more! Thursday May 4 2 pm ET 80% success rate g o to the front lines By e llen s luder Q. What are the quickest ways to see r O i on automation? a . The quickest way is to go to the front lines of where the work t ake better care of patients— and payments By n ic K Knowl T on Q. How can interoperability have a positive impact on my reimbursement? a . At a conference in February, I participated in a demonstration of a new patient-centric interoperabil- ity experience to show how data can follow a patient through their tran- sition from acute to home care to primary care. A key takeaway was how we as an industry can leverage different tools that exist in our refer- ral source's systems to gather infor- mation necessary for reimburse- ment, while providing the patient with the best possible care transi- tion experience. Here are some areas to consider with interoper- ability and reimbursement: r eal-time data access Providers need instant access to data to ensure orders qualify for reimbursement. With interopera- bility, seamless data exchange helps supply the information you need to be reimbursed and, since the data is sent directly into your system with- out having to be re-keyed, it is right the first time. Data accessibility also provides increased visibility to other areas of your business that can affect reimbursement. Forms completion Interoperable systems can deliver the right information on intake, so the process for forms completion is streamlined. Completed and quick- ly generated forms can help you reduce your days sales outstand- ing, and help achieve complete and timely reimbursement. r esupply and compliance Having access to compliance and clinical follow-up information is essential for patients in therapy. Patients who receive sleep or oxy- gen therapy often need follow-up visits with referring providers to continue therapy. Interoperability will enable users to gather infor- mation and reduce manual steps in the process. Proactive patient follow-ups can reduce readmis- sion rates, help to improve out- comes and save money. hme Nick Knowlton is a vice president, busi- ness development, at Brightree. Reach him at is being done. This is where you'll find large volumes of documenta- tion that need to be completed, authorized, and passed on to the next person to work. Here are three ways you can add auto- mation that will guarantee you improve productivity and reduce costs: e lectronic F axing A physical fax machine wastes time and effort, and maintaining hardware can be expensive. Elec- tronic faxing allows incoming faxes to be automatically routed to the right person, with alerts keeping you aware of new arriv- als. Outbound faxing can be set up so that coversheets are pre- populated, reducing data entry. E-faxing also allows for centralized oversight of everything coming in and going out. a uto- F iling For any document that comes into your system and needs to find its way into a specific file, auto-filing technology improves accuracy and guarantees complete files at all times. OCR and barcode-read- ing technology route documents to the correct file without human intervention. a utomated hand-o FF s Once documentation is received, typically work has to be done. Per- haps it is what is needed to autho- rize an order or release a claim. Or maybe it's the proof needed to pay one of your vendors. With a work- flow automation or BPM system in place, no one needs to get up and walk files to another desk or send emails with lengthy expla- nations. This not only saves time, and therefore money, but also cre- ates an audit trail so you can keep track. hme Ellen Sluder is vice president of market- ing for Medforce Technologies. Reach her at

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