HME News

AUG 2019

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 12 of 32

Providers ■ Barnes Healthcare offers up fresh produce at its FARMacy Market. See story this page. AdaptHealth to merge, go public . . . . . . . . . . . . . . . . . . . . 12 Tricare frustations continue . . . . . . . . . . . . . . . . . . . . . . . . 12 Providers prepped for Round 2021 . . . . . . . . . . . . . . . . . . 12 Moneyline: Great Elm DME, RMS. . . . . . . . . . . . . . . . . . . . 13 BRIEFS Agile Medical forms sleep company WEST BERLIN, N.J. – Agile Medical, parent company of The CPAP Shop, has part- nered with Welltrinsic, a network of sleep medicine physicians, and CleveMed, a home sleep testing company, to launch Sleep Care online. The comprehensive sleep care services will enable patients to use an online telemedicine portal to con- nect with board-certified sleep physicians for services that include evaluation, home sleep testing, CPAP equipment and sleep coaching. Agile Medical in May launched The Oxygen Concentrator Supplies Shop. Aeroflow is 'Great Place to Work' certified ASHEVILLE, N.C. – Aeroflow Healthcare has been certified as a "Great Place to Work." The cer- tification recognizes outstanding workplace culture, employee experience and leadership behavior. Businesses earn the certification by gathering validated employee feedback and applying Great Place to Work's "For All" methodology to confirm at least seven out of 10 employees have consistently positive experiences at the company. Southwest Medical receives award LAS VEGAS – Southwest Medical, part of OptumCare, has been named one of the winners of the annual Intalere Health- care Achievement Awards, according to Nevada Business Magazine. Southwest Medical, specifically its Southwest Medical Pharmacy & Home Medical Equipment di- vision and its Pharmacy Transitions of Care Program, was recognized in the Quality/ Patient Care Delivery and/or Patient Sat- isfaction category. Intalere is a healthcare services company. Rehab Medical Supply receives top vote INDIANAPOLIS – Rehab Medical Supply has been named Oklahoma's Best Medical Sup- ply Company by The Journal Record as part of the newspaper's 2019 Reader Rankings Awards. "For more than 30 years, Rehab Medical Supply has served the Oklahoma City and Kingston communities, so we are truly honored to receive this award," said President Kevin Gearheart. Rehab Medical Supply, formerly known as Family Medi- cal Supply, recently rebranded following its merger with Rehab Medical in 2018. IPI poised for national expansion CHICAGO – CEO Danilo Coite, M.D., is buying into Independence Plus, a provider of high- tech respiratory services, nursing, rehabilita- tion and equipment for children and adults with complex medical needs. IPI, which has served northern Illinois for more than 30 years, plans to expand nationally. "This com- pany has a rich history of being a necessary, crucial part of patients' live and we want to continue to offer that and also offer our ser- vices on a larger scale," said Coite. 12 HME NEWS / AUGUST 2019 / WWW.HMENEWS.COM BY THERESA FLAHERTY, Managing Editor PLYMOUTH MEETING, Pa. – In the nearly 10 years that the HME industry has grappled with competitive bidding, AdaptHealth, formerly QMES, has found a way to grow, leading up to the announcement in July that it's combin- ing with DFB Healthcare Acquisitions Corp. and becoming a public company. The combined company, which will go by AdaptHealth Holding Corp. and which will be listed on the NASDAQ under a new ticker symbol, will have a value of $1 billion and a market capitalization of about $800 million. "Adapt is already a huge company," said Brad Smith, managing director/partner at Vertess, of the company, which serves more than 1 million patients annually through more than 150 locations across the coun- They say they've taken advantage of industry website, educational summits, calculators BY T. FLAHERTY, Managing Editor W HEN THE bid win- dow for Round 2021 opened in July, pro- viders said they expected sub- mitting bids would be faster and easier than in previous rounds "We're all veterans of it— if BY THERESA FLAHERTY, Managing Editor VALDOSTA, Ga. – When it comes to patient health, Barnes Health- care thinks beyond home medical equipment with its FARMacy Market. "What we focus on at Barnes is our patients being healthy and that includes food," said Heather Sardina, executive assistant. "This is another way to say to our patients, this is something we believe in and want to provide." Two or three times a week, a local farmer sets up in the park- ing lot of the Barnes Drug Store location in Valdosta, selling fruit and vegetables to patients, employees and the community. Customers might buy a pound of sweet potatoes or four oranges for $1, or a watermelon for $5, says Sardina. "We're just making it easier and less expensive to have fresh fruit and vegetables, and also support a local farmer," she said. "The farmer gets a lot of attention from our patients coming in BY THERESA FLAHERTY, Managing Editor SAVANNAH, Ga. – More than a year after Humana Military took over the Tricare East contract, there are still billing issues, providers report. Provider David McLeod, for example, has been told he must submit a certificate of medical necessity every time he submits a claim for a CPAP device because the claims processor doesn't have the ability to attach a CMN already on file. "Essentially they are saying that, for us to get paid, we have to go through the whole pro- cess of submitting paperwork AdaptHealth announces merger try. "They came up with a buy-and-build strategy, and executed on it and I think it's going to go extremely well going forward." DFB is sponsored by Deerfield Management and Richard Barasch, the former chairman and CEO of Uni- versal American, a health insurance and healthcare services company acquired by WellCare Health Plans in 2017. He will serve as chairman of the company. Adapt's current management team, includ- ing CEO Luke McGee, will remain in place. Adapt has acquired 56 companies since 2012, including Landauer Metropolitan in 2013 for $22 million ahead of that company's filing for Chapter 11 bankruptcy protection. "They took advantage of an industry that was beaten down by reimbursement rates," said Pat Clifford, managing director, The Braff Group. "They felt like they could improve things with operational efficiencies and they've done quite well." Going forward, Adapt will continue to buy. It says it has identified a "significant volume" of potential acquisition opportu- nities for this year and early next year, with PAP and ventilators likely areas of focus, Smith says. "The market is brimming right now," he said. "From the standpoint of further market penetration, there's plenty to go after." Adapt's size and its merger with DFB sets up the company well for the not-so-distant Round 2021, Clifford says. "If the next round is upward (reimburse- ment), for which we are all hopeful, then Tricare still source of much frustration for each claim," said McLeod, owner of Savannah, Ga.-based SleepWell. "It's onerous and unprecedented." Humana Military outsourced the billing to Wisconsin Physi- cian Services when it took over the Tricare East contract from Health Net Services on Jan. 1, 2018. At that time, Tricare consolidated from three to two regions, East and West. Since then, providers have reported getting paid slowly, incorrectly or not at all, as well as difficulty communicating with Humana. McLeod filed a complaint with the local insurance commissioner, Round 2021: Providers do their homework 02 and apples? Barnes has your prescription anyone was approaching bid- ding for the first time, I'd be surprised—and I think they've simplified the process," said Bob Fournier, owner of Ger- mantown, Tenn.-based Integ- rity Home Medical. Round 2021, which CMS first announced in July 2018, includes big changes, in par- ticular the implementation of lead-item pricing. With stakes high, indus- try groups like AAHomecare A D A P T H E A LT H S E E N E X T PA G E T R I C A R E S E E N E X T PA G E P R O V I D E R S P R E P S E E N E X T PA G E B A R N E S S E E N E X T PA G E BARNES HEALTHCARE encourages patients, employees and the local community to shop at the FARMacy, held at its Valdosta, Ga., location. PAYER TROUBLES Brad Smith

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