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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News 4 www.hme N ews.com / july 2017 / hme N ews Visit www.VGM.com or call 1-800-642-6065 Home Medical Equipment • Complex Rehab • Wound Care • Women's Health Home Modifications • Respiratory • Home Infusion & Retail Pharmacy Join a community of HME experts unified to strengthen each other's businesses. WHERE COMMUNITY MEETS OPPORTUNITY c OST cu R v E c o n t i n u e d f r o m pa g e 3 ATLANTA – Medtrade officials have shortened this year's show and added a cash incen- tive to attendees who stick around for the duration. Show officials will end this year's Medtrade, slated for Oct. 23–25 at the Georgia World Congress Center, on Wednesday evening instead of Thursday afternoon. Additionally, they will extend exhibit time by an extra hour on days two and three, keeping the show floor open until 5 p.m. "Survey data indicated that an efficient two-day expo schedule could better satis- fy objectives of attendees and exhibitors," said Kevin Gaffney, group show director, in a press release. The changes are based on exhibitor feed- back and survey data, show officials say. "We are modifying the show schedule to provide exhibitors with the highest quality exposure to Medtrade attendees, as well as to offer the best experience for attendees—many of whom may be able to save additional money on hotel and Medtrade shifts to shorter fall show expenses," said Sarah Varner, marketing director, in the release. The show will end on Wednesday eve- ning with a networking reception on the show floor, during which attend- ees will have the chance to win a $5,000 cash prize as an added incentive. Medtrade got its start in 1979 and grew into the HME industry's largest event, drawing thousands of attendees from all over the country. Dras- tic changes in reimbursement and indus- try consolidation, however, have chipped away at attendance from both providers and exhibitors. This year's show has 243 exhibitors already, including several new companies. Fifty-three workshops and educational ses- sions will take place during the show's three days. Early registration for Medtrade opened June 12. hme have high-performing networks," he said. "But we believe we can have even higher performing networks." The partnership also allows CareCentrix to broaden its existing efforts across post-acute care, Wogen says. "We can expand beyond the traditional silos of looking at just DME and looking just at home health, and look across settings," he said. "We can look at post-acute care in its totality." Wogen says one byproduct of the partner- ship with Performant and their combined data crunching may be more prospective vs. retrospective controls, something that an HME industry that's lobbying for more wide- spread prior authorization would no doubt welcome. "That could simplify how we all work," he said. "We have a prior authorization process in place for a lot of our services today, but what if you were able to examine the process and take away some learnings and ascertain that automatic authorizations in some areas could streamline the process?" While CareCentrix is a firm believer in home care, it needs to toe the line between determining what's necessary and what's not, and the partnership with Performant better equips the company to do that heavy lifting. "A CPAP mask can keep a patient out of the ER and it can keep comorbidities under control, but does that mean a patient needs five masks a year—not necessarily," he said. "Providers need to do everything they can to keep a patient compliant; at the same time, supplies continue to increase in cost. By getting the bad players out, it allows DME to be used for what it's sup- posed to be used for. That's how you bend the cost curve." hme Kevin Gaffney m edicaid Fraud c ontrol u nits recover about $36 million from D me in 2016 WASHINGTON – Medicaid Fraud Control Units made 29 criminal convictions and 56 civil settlements and judgments involving DME- POS providers in fiscal year 2016, according to a report from the Office of Inspector Gen- eral (OIG) published in May. On the criminal side, the units recovered more than $5 mil- lion; on the civil side, they recovered about $31 million. In all, the units reported 1,564 criminal convictions and 998 civil settlements and judgments, representing a total of almost $1.9 billion in recoveries. The OIG found that the units continued a trend of increasing the number of criminal convictions in 2016, and they hit a five-year high for the number of civil settlements and judgments. The OIG's report was based on an analy- sis of 2012-2016 statistical data submitted by 50 units.

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