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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Medicare Market Marker The RemitDATA Denial Tracker SOURCE: REMITDATA: 901-767-9830 The RemitDATA Denial Tracker is an index of the percentage of Medicare and commercial claims rejected on a monthly basis. The most recent month's data represents an analysis of approximately 1,174,983 Medicare claims and 3,911,118 commercial claims adjudicated between February 1, 2017, and February 28, 2017. The index is a categorized and weighted analysis of claims fi led by RemitDATA customers. HMENEWS.COM 5/16 6/16 8/16 11/16 2/16 2/17 1/17 9/16 7/16 10/16 12/16 3/16 4/16 Most viewed stories in February 1. CMS adds teeth to bid program 2. Stakeholders stand ready to change bid program, with Price's help 3. Bid relief needs adjustment, stakeholders say 4. Invacare shifts into phase two of transformation 5. Invacare reduces workforce again 6. Competitive bidding: CMS to combine all future rounds into one *The Medicare Market Marker provides a monthly look at the number of Medicare benefi ciaries for whom the four MACs have allowed a claims payment. SOURCE: PDAC (number of allowed benefi ciaries) E 1 3 9 0 : O X Y G E N C O N C E N T R A T O R E 0 2 6 0 : S E M I - E L E C T R I C H O S P I T A L B E D (number of allowed benefi ciaries) E 0 6 0 1 : C P A P (number of allowed benefi ciaries) K 0 0 0 1 : S T A N D A R D W H E E L C H A I R (number of allowed benefi ciaries) (number of allowed benefi ciaries) K 0 8 2 3 : P O W E R W H E E L C H A I R * * HME NEWS POLL HMEDATABANK.COM The HME DataBank has the latest Medicare reimbursement data for the top 1,000 HME providers nationally in 103 key product cat- egories, as well as for all of the products in the NCB program. You can determine your market share, look for new product opportu- nities and check out your competition using the latest available Medicare data. Go to hmedatabank.com to learn more. data! data! **We are now tracking K0823 claims with certain modifi ers (NU, UE or RR/KH) to better refl ect the actual number of new allowed benefi ciaries under the 13-month capped rental. 1/16 10/16 9/16 11/16 12/15 2/16 3/16 7/16 8/16 4/16 5/16 6/16 "As of July 2016, we are actively replacing American workers with offshore labor." — A n o n y m o u s , California "No. The overseas man- ufacturing of the prod- ucts we rent and sell is enough of a challenge without depending on foreign labor for busi- ness functions." —Anonymous 118,780 Region D 98,749 Region B 77,934 Region A 27,949 Region C 18,246 Region A 7,471 Region D Region B 15,023 Region B 47,127 Region D 59,206 Region C 92,744 Region A 41,731 266 Region B Region D 216 900 Region C Region A 120 41,044 Region C 16,253 Region B 14,815 Region D 17,239 Region A Month Percent denied Source: The Braff Group, 412-833-5733. The Braff Group M&A Insider Rehab (20.4, 20.7) DME (18.2, 16.7) Respiratory (14.7, 11.5) 1/16 10/16 9/16 11/16 12/15 2/16 3/16 7/16 8/16 4/16 5/16 6/16 1/16 10/16 9/16 11/16 12/15 2/16 3/16 7/16 8/16 4/16 5/16 6/16 1/16 10/16 9/16 11/16 12/15 2/16 3/16 7/16 8/16 4/16 5/16 6/16 1/16 10/16 9/16 11/16 12/15 2/16 3/16 7/16 8/16 4/16 5/16 6/16 This month, we take a look at how valuation stacked up in 2016 in lower middle market M&A (under $250M), by sector. Sometimes a chart is meaningful for what it doesn't show. Such is the case here, where, other than the manufacturing sector, there was virtually no meaningful difference in valuation metrics across the sectors. Although healthcare services fared the best, the sector average of 7.6 was only 0.3 greater than media and telecom. Notably, this was a departure from what we've seen in the past as there was substantial variation in valuation across the sectors between 2012 and 2015. How do we explain this extraordinary convergence? Bueller? Bueller? The truth of the matter is we can't. We suspect it's an anomaly that we won't see again soon. Do you outsource any business functions out of the country? NewsPoll based on 69 respondents. 214,138 Region C HME NEWS / APRIL 2017 / WWW.HMENEWS.COM Databank If yes, which ones? Yes No 23

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