HME News

AUG 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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Page 22 of 32

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 1,289,376 Medicare claims and 4,003,135 commer- cial claims adjudicated between June 1, 2018, and June 30, 2018. The index is a categorized and weighted analysis of claims fi led by eSolutions customers. HMENEWS.COM 9/17 10/17 12/17 3/18 6/17 6/18 5/18 1/18 11/17 2/18 4/18 7/17 8/17 Most viewed stories in June 1. CMS releases adjusted rates 2. Newspoll: Providers reconsidering credit card policy 3. Stakeholders push for comments on bid-related IFR 4. ResMed shares the wealth (of data) 5. What's the score? Industry needs to stay focused 6. 'Pay attention to the details,' says Doug Coleman *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 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. 4/17 1/18 12/17 2/18 3/17 5/17 6/17 10/17 11/17 7/17 8/17 9/17 "If we don't drive c h a n g e , n o b o d y else will. Those pro- viders standing on the sidelines need to get involved or they will get what's coming to them." —Greg Dunn, Alpine H o m e M e d i c a l Equipment. "We are very under- staffed and do not have time to meet. Our bosses will not pay for any travel or lodging or anything extra." —Anonymous 105,158 Region D 90,189 Region B 64,087 Region A 24,184 Region C 14,570 Region A 5,791 Region D Region B 12,192 Region B 51,301 Region D 67,924 Region C 104,999 Region A 44,889 272 Region B Region D 223 820 Region C Region A 139 42,266 Region C 16,064 Region B 13,861 Region D 17,960 Region A Month Percent denied Source: The Braff Group, 412-833-5733. The Braff Group M&A Insider Rehab (15.5, 16.7) DME (13, 14.3) Respiratory (11.1, 10.8) 4/17 1/18 12/17 2/18 3/17 5/17 6/17 10/17 11/17 7/17 8/17 9/17 4/17 1/18 12/17 1/18 3/17 5/17 6/17 10/17 11/17 7/17 8/17 9/17 4/17 1/18 12/17 2/18 3/17 5/17 6/17 10/17 11/17 7/17 8/17 9/17 NewsPoll based on 30 respondents. 185,623 Region C HME NEWS / AUGUST 2018 / WWW.HMENEWS.COM Databank Did you submit comments to the IFR? 4/17 1/18 12/17 2/18 3/17 5/17 6/17 10/17 11/17 7/17 8/17 9/17 Have you scheduled, or do you plan to schedule, a meeting with lawmakers in August? 22 This month, we take a look at one of the hottest sec- tors in healthcare service M&A: autism spectrum disor- der. As the graph clearly indicates, it wasn't until 2013 that buyers took notice of the opportunities in treating ASD. Since then, the market has exploded to produce some of the highest multiples we've ever seen for both small and large providers. The reasons? More children accessing care. Near nationwide mandatory insurance coverage. Attractive margins. Market fragmentation. Outstanding patient advocacy. Autism Deal Trends

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