HME News

FEB 2018

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 eSolutions Denial Tracker SOURCE: ESOLUTIONS The eSolutions 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 1,309,744 Medicare claims and 3,900,425 commercial claims adjudicated between December 1, 2017, and December 31, 2017. The index is a categorized and weighted analysis of claims fi led by eSolutions customers. HMENEWS.COM 3/17 4/17 6/17 9/17 12/16 12/17 11/17 7/17 5/17 8/17 10/17 1/17 2/17 Most viewed stories in December 1. CVS-Aetna deal casts chilling shadow over pharmacy landscape 2. As CMS rolls out details, eyes turn to Medicaid 3. Bid relief update: Stakeholders move on new information 4. OIG report is 'slap on the wrist,' providers say 5. Settlement update: A non-option option for appeals 6. MCO readies for drastic cuts in Illinois *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. 10/16 7/17 6/17 8/17 9/16 11/16 12/16 4/17 5/17 1/17 2/17 3/17 "We plan on expand- ing our service for cer- tain product catego- ries." —Owner, All Star Medical, Hermitage, Tenn. "Preparing for 2019, when the Medicaid hammer comes down and we start turning people away because there's no such thing as a non-assigned claim for Medicaid." —Dave Anderson, Anderson's Medical Products, Terre Haute, Ind. 183,167 Region D 156,079 Region B 97,341 Region A 55,904 Region C 25,511 Region A 12,781 Region D Region B 22,098 Region B 88,506 Region D 114,158 Region C 175,111 Region A 60,103 1,117 Region B Region D 1,261 3,408 Region C Region A 365 78,272 Region C 30,879 Region B 25,120 Region D 23,139 Region A Month Percent denied Source: The Braff Group, 412-833-5733. The Braff Group M&A Insider Rehab (16.3, 18.5) DME (13.6, 14.5) Respiratory (10.8, 9.4) 10/16 7/17 6/17 8/17 9/16 11/16 12/16 4/17 5/17 1/17 2/17 3/17 10/16 7/17 6/17 8/17 9/16 11/16 12/16 4/17 5/17 1/17 2/17 3/17 10/16 7/17 6/17 8/17 9/16 11/16 12/16 4/17 5/17 1/17 2/17 3/17 10/16 7/17 6/17 8/17 9/16 11/16 12/16 4/17 5/17 1/17 2/17 3/17 NewsPoll based on 24 respondents. 321,652 Region C HME NEWS / FEBRUARY 2018 / WWW.HMENEWS.COM Databank What's one thing you plan to do differ- ently with your business this year? This month we examine the comparative trends between healthcare ser- vice transactions and the U.S. middle market as a whole. At fi rst glance, it's diffi cult to tease out any central theme to the data. There are peri- ods where health care follows the overall market, and periods where it doesn't. But there is one very interesting observation. On a relative basis since 2014, health care has out-performed the overall market. However, this changed in the fourth quarter of 2016, when the broad market went on a tear, delivering its best results over the period. Although Congress' on-again, off-again initiatives to undo the Affordable Care Act haven't sent healthcare M&A into a tailspin, it certainly hasn't helped. Alterna- tively, sustained economic gains, continued access to cheap credit, and a business-friendly environment appear to have boosted investor confi - dence, sparking greater deal volume—and higher valuations. 22 "Close the doors. Sadly, I stuck around way too long. I am con- vinced it will NOT turn around ever." —K.C. Martin, SEMO Medical Equipment & Supply, Cape Girardeau, Mo. "Enhance my web pres- ence and continually update content to keep it fresh." —Paul Reses, Lincoln Medical Supply Co., Pleasantville, N.J. "Increase participation in advocacy (i.e. attend United Spinal's Roll On Capitol Hill in June, join NCART's efforts to pass CRT legislation, etc)." — Lynn Murray, Placerville Mobility Support Group, Placerville, Calif. "Unfortunately, we are closing our doors." — Rodney Askay, West River Home Medical Services, Hettinger, N.D. "Diversify and refo- cus services due to necessity from insta- bility and threats to CRT market. " —Laura Cohen, Rehabilitation & T e c h n o l o g y Consultants, Arlington, Va. "Expand contracts with insurances, hire additional employees, streamline IT concentra- tion on wireless EHR." —Ruben Jones, Active Mobility Innovations, Largo, Fla.

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