HME News

JUL 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 ap- proximately 1,561,164 Medicare claims and 4,626,357 commercial claims adjudi- cated between May 1, 2017, and May 31, 2017. The index is a categorized and weighted analysis of claims fi led by RemitDATA customers. HMENEWS.COM 8/16 9/16 11/16 2/17 5/16 5/17 4/17 12/16 10/16 1/17 3/17 6/16 7/16 Most viewed stories in May 1. HME infrastructure crumbles 2. CMS does 'whatever it wants," say frustrated stakeholders 3. Pacifi c Pulmonary settles for $11.4M 4. Uncertainty kills Teijin's bid for US HME market 5. AAHomecare's Ryan: 'We are so close' 6. Prior auth legislation could nudge CMS foward *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. 3/16 12/16 11/16 1/17 2/16 4/16 5/16 9/16 10/16 6/16 7/16 8/16 "Twenty years ago, it used to take four days to visit all the exhibitors at Medtrade. Now you can likely visit all of them in two days. It's very refl ec- tive of how our industry has changed for the worse." — D a v i d B e s h o a r, MedServe Equipment Corp. "Cutting the number of days and reducing costs at this time in the his- tory of the industry only makes sense." —Charles Satterfi eld, Archer's Total Home Healthcare 117,008 Region D 99,673 Region B 75,693 Region A 26,658 Region C 15,933 Region A 7,304 Region D Region B 14,867 Region B 47,323 Region D 61,415 Region C 88,572 Region A 39,689 232 Region B Region D 212 690 Region C Region A 112 37,252 Region C 16,214 Region B 14,850 Region D 15,234 Region A Month Percent denied Source: The Braff Group, 412-833-5733. The Braff Group M&A Insider Rehab (16.9, 19.4) DME (14.5, 16.4) Respiratory (11.5, 10.9) 3/16 12/16 11/16 1/17 2/16 4/16 5/16 9/16 10/16 6/16 7/16 8/16 3/16 12/16 11/16 1/17 2/16 4/16 5/16 9/16 10/16 6/16 7/16 8/16 3/16 12/16 11/16 1/17 2/16 4/16 5/16 9/16 10/16 6/16 7/16 8/16 3/16 12/16 11/16 1/17 2/16 4/16 5/16 9/16 10/16 6/16 7/16 8/16 Although private equity investment activity in HME has been relatively tepid over the past three years, it has been anything but across healthcare services in general. Since the depths of the recession in 2009, PE-sponsored deal making has been rising steadily, closing out 2016 with records in both market-entry platform deals and follow-on activity. This is due to both macro trends across all industries (an overabundance of "dry powder" and a sluggish economy that requires M&A activity to stimulate growth), as well as micro trends in healthcare services in which private equity seeks to capitalize on opportunities to transform health care from fee-for-service to fee-for-outcome. Even in an unsettled health care insurance market, we anticipate sustained activity of this sort over at least the next 24-36 months. Do you think it makes sense for Medtrade to be three vs. four days long? NewsPoll based on 105 respondents. 203,316 Region C HME NEWS / JULY 2017 / WWW.HMENEWS.COM Databank In past years, how many days did you attend Medtrade? 23

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