HME News

OCT 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 repre- sents an analysis of approximately 4,491,647 Medicare claims and 5,251,914 commer- cial claims adjudicated between August 1, 2017, and August 31, 2017. The index is a categorized and weighted analysis of claims fi led by RemitDATA customers. HMENEWS.COM 11/16 12/16 2/17 5/17 8/16 8/17 7/17 3/17 1/17 4/17 6/17 9/16 10/16 Most viewed stories in August 1. MCOs shift Medicaid landscape 2. Round 2019 remains a mystery 3. States move to single-source more and more DME 4. Apria letter spotlights grandfathering provision 5. CareCentrix pursues 360-degree view of patients 6. A big ouch for Lincare 7. New audit program makes concessions *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. 6/16 3/17 2/17 4/17 5/16 7/16 8/16 12/16 1/17 9/16 10/16 11/16 "Anyone requiring a CDL should at the very least be screened for sleep apnea. If they have two or more risk factors they should be screened with a minimum of home sleep testing." — Bob Rasmussen, RRT "We need no more gov- ernment regulations. However an employer can screen as a condition of employment. The diag- nosis of 'sleep disorder' does not equate to unsafe operation of equipment." —Anonymous 113,741 Region D 96,686 Region B 72,972 Region A 27,976 Region C 16,288 Region A 7,090 Region D Region B 14,161 Region B 48,377 Region D 62,030 Region C 95,265 Region A 41,422 249 Region B Region D 190 683 Region C Region A 124 41,089 Region C 16,275 Region B 14,567 Region D 16,406 Region A Month Percent denied Source: The Braff Group, 412-833-5733. The Braff Group M&A Insider Rehab (9.1, 14.7) DME (5.7, 13.5) Respiratory (3.7, 9.4) 6/16 3/17 2/17 4/17 5/16 7/16 8/16 12/16 1/17 9/16 10/16 11/16 6/16 3/17 2/17 4/17 5/16 7/16 8/16 12/16 1/17 9/16 10/16 11/16 6/16 3/17 2/17 4/17 5/16 7/16 8/16 12/16 1/17 9/16 10/16 11/16 6/16 3/17 2/17 4/17 5/16 7/16 8/16 12/16 1/17 9/16 10/16 11/16 Should there be a regulation requir- ing certain transportation workers to get screened for sleep disorders? NewsPoll based on 53 respondents. 207,784 Region C HME NEWS / OCTOBER 2017 / WWW.HMENEWS.COM Databank Is awareness of sleep disorders increasing? 30 No After so much unhappy news on the HME mergers and acquisitions front, it's nice to be able to report that deal volume in the second quarter of 2017 reached its highest level since the fourth quarter of 2015. Particularly active during the period was National Seating and Mobility and Quadrant Management, which accounted for three and two deals, respec- tively. Even Rotech was back on the scene, which, as best as we can tell, had not com- pleted a deal of note since the end of 2015.

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