HME News

NOV 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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Rx and Specialty Providers HME NEWS / NOVEMBER 2018 / WWW.HMENEWS.COM 17 All we do is set the costs for them." At the heart of the financial model, McAtee said, is "communicating with staff about what it costs to provide the care...they are already keenly aware of reimbursement rates for the items we provide." Specializing in pediatric respiratory care, Aeratech provides ventilator ser- vices for young patients with various breathing disorders. While some may conclude that this business segment rep- resents a narrow niche for the company, Neely explains that there is much more to it than meets the eye. "Pediatric ventilators is not a narrow spectrum—we work with a lot of hospi- tals and they all want something differ- ent," he said. Aeratech began the transition to its current business model in 2015, moving away from a traditional respiratory ther- apy operation. As customer service staff members left via attrition, the company hired licensed and credentialed profes- sionals to fill those vacancies. "We expanded their roles to include more time on tasks such as CMN acqui- sition, obtaining prior authorizations and direct involvement in additional billing issues as they relate to each indi- detection have submitted nearly 800,000 insurance claims for retail blood-glucose test strips manufactured by Roche," the lawsuit states. Roche says among the tens of thousands of insurance claims submitted by PHC, many were for retail test strips, when not- for-retail test strips were dispensed. It says a substantial number of insurance claims remain unaccounted for. Reps. Kenny Marchant, R-Texas, Eliot Engel, D-N.Y., Fred Upton, R-Mich., and Terry Sewell, D-Ala., in September sent CMS Administrator Seema Verma a let- ter urging CMS to allow payment for each calendar day that home infusion occurs, and to adopt a more comprehensive defini- tion of professional services. The letter had 20 signatures. A similar letter in the Sen- ate, spearheaded by Sens. Johnny Isakson, R-Ga., and Senator Mark Warner, D-Va., garnered 21 signatures. "They've made their concerns known," said Pearce. "We are hopeful that when CMS sees that it's clear this is what Con- gress intended when they created this benefit, that they'll be able to adjust it." HME BRIEFS One Drop integrates with Apple Watch NEW YORK – One Drop users can now seam- lessly transfer data from One Drop | Chrome to the Apple Watch, according to a press release in September. Apple Watch Blue- tooth connectivity is the newest of thou- sands of One Drop integrations that allow users to pull their data from other apps and devices. "For too long the diabetes industry has operated on point solutions and closed systems focused on the needs of health- care providers in the clinic, rather than the needs of the people using the systems to manage their disease every day," said Jeff Dachis, One Drop CEO. With the release of iOS 12, One Drop will further expand iOS integrations by launching Apple Health Records and Siri Shortcuts. One Drop, a diabetes management solution, originally launched in 2015 as a mobile app and has since added its own blood glucose moni- toring system and coaching. Ascensia gets 'seal of approval' for Contour Next BASEL, Switzerland – The Contour Next BGMS finished top of the list for accuracy, accord- ing to the results of a recently published assessment of 18 blood glucose monitor- ing systems. The system from Ascensia Diabetes Care was the only one to have 100% of data points within protocol limits for accuracy used by the Diabetes Technol- ogy Society in their Blood Glucose Monitor- ing System Surveillance System. Based on the results of the independent assessment, the Contour Next was one of six systems awarded a "seal of approval" by DTS for meeting stringent standards for accuracy. The full results were published in Diabetes Care in August. Discount diabetes website launches ELMHURST, N.Y. – Affordable OTC, a pro- vider of discount diabetes products, has launched, a website that offers products with savings of more than 70%. Affordable OTC offers an extensive range of brand name prod- ucts like test strips, meters and lancets from manufacturers like Roche and Abbott. "Affordable OTCs goal is to make the high expense of glucose monitoring available to everyone that needs it," stated a press re- lease. "This is their main purpose, and they are going above and beyond to achieve it." AERATECH C O N T I N U E D F R O M P R E V I O U S PA G E vidual therapist's patient base," McAtee said. "As a result, we have a stronger relationship with our patients, caregiv- ers, payer sources and our referral base because the therapists are involved in all aspects of care and services being pro- vided. The referring physicians and dis- charge planners have developed stronger relationships with our staff, as well." Success for Aeratech, Neely said, rests with its staff of RTs, who are entitled to profit sharing when the company charts in the black. So far, so good, he said. "What we try to accomplish is make our therapists excited about home care and excited about HME," Neely said. "When we profit, so do they." HME ROCHE SUES PHARMACY NETWORK C O N T I N U E D F R O M P R E V I O U S PA G E "It is impossible to know what, if any- thing, Priority Care is actually dispens- ing to the majority of its patients," the lawsuit states. The judge ordered both parties to meet for mediation by Oct. 17. A spokesperson for Roche, which is rep- resented by Patterson Belknap Webb & Tyler, said the company does not comment on pending litigation. HME off-the-shelf products, even though they cost $2,500 to $3,000 vs. $350 to $400, respectively. Essentially Women, a division of the VGM Group, spearheaded the #MakeMe- WholeAgain campaign, a grassroots effort to advocate for the legislation. "Women are unique and come in all shapes, sizes and skin tones," said Nikki Jensen, vice president of Essentially Women in a press release. "Providing Medicare coverage for a segment of this population can give women an option that can meet their needs and make them whole again." Similar bills have been introduced in the past, most recently in 2011. HME CUSTOM FORMS C O N T I N U E D F R O M P R E V I O U S PA G E HOME INFUSION C O N T I N U E D F R O M P R E V I O U S PA G E AERATECH MEDICAL'S WAREHOUSE stocks mostly ventilators. The Medina, Ohio-based provider specializes in pediat- ric respiratory care. AOPA assembles The American Orthotic Prosthetic Association hosted its 101st National Assembly Sept. 26-29 at the Vancouver Convention Centre in Vancouver, British Columbia. Attendees participated in a full slate of networking opportunities and educational sessions, like "Contemporary Overview of Lower Limb Prosthetic Impression Techniques," a hands-on course reviewing impression- taking techniques. Next year's AOPA National Assembly takes place Sept 26-29 in San Diego. Networking Education New ideas March 10-12, 2019 ÃȳÀÀ³Ü®I¨vçv(³È¨ƥ:Ü?À¨v®ÃƜ4 Save the date!

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