HME News

NOV 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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Page 22 of 34

Rx and Specialty Providers Coding project reveals gap . . . . . . . . . . . . . . . . . . . . . . . . 20 Q&A: Option Care's Nora Bondi . . . . . . . . . . . . . . . . . . . . . 20 DarioHealth seeks to 'simplify diabetes' . . . . . . . . . . . . . . 20 Senators introduce sleep testing bill . . . . . . . . . . . . . . . . . 21 ■ Soleo Health builds on data to create a 'unique' company, says CEO Drew Walk. See story page 1. 20 hme news / november 2017 / By Theresa Flaher T y, Managing e ditor WASHINGTON – A coding redetermination project for custom diabetic inserts could be a sign of the times, where guidelines don't keep pace with technology. In August, the Pricing, Data Analy- sis, and Coding Contractor announced it would initiate the project for A5513 after the DME MACs issued a joint pub- lication stating that, to meet the require- ments of that particular code, the insert must be molded over an actual model of the patient's foot. Although many models are still made using older methods like plaster casts or crush boxes are still used, scanning tech- nology is being used with increasing fre- quency to create virtual models. "As technology has advanced, manufac- turers have been making, typically, scans of the foot, feeding them into additional software which is then, in turn, direct mill- ing the insert based on the scans," said Joe McTernan, director of coding and reim- By Kelly Bo T hu M , Contributing Writer A s PE o P l E become more enmeshed with their mobile devices, there's a growing opportunity to use smartphone technology to help patients better manage their health conditions. With that in mind, Dario- Health Corp. has created an all-in-one blood glucose meter that allows patients to test their glucose levels and log real-time measurements seamlessly using a mobile app. The result, DarioHealth offi- cials say, is a more engaged patient who also can keep oth- ers updated on their health status by sharing their results with health professionals or loved ones. "People are seeking more manageable solutions for their diabetes," said s hmuel Hersch- berg, marketing director for DarioHealth, a global digital health company. "You can get a full 30,000-foot view of what's happening with a person's dia- betes, whether they're manag- ing it on a day-to-day basis. It really can simplify diabetes." The Dario s mart Meter con- sists of a plug-in dongle that connects a small lancing device and testing strips to a user's smartphone. Blood glucose lev- els are uploaded and stored along with the user's past diabetes data. Her- schberg said there's also an emergen- cy hypoglycemia alert feature that sends an alert with GP s coordinates to selected people if a patient's blood sugar falls too low. The s mart Meter has been a v a i l a b l e i n t h e U. s . for about 1.5 years and has been aimed at consum- ers seeking an accu- rate blood glucose meter with a low price point and no commitment plans for test strips. More recently, the com- pany has partnered w i t h p r o v i d e r s Byram Healthcare and CC s Medical to reach third-party patients with diabetes who want their By Theresa Flaher T y, Managing e ditor O n E of n ora Bondi's earliest roles in her nurs- ing career was as a clinical liaison, working with patients before discharge from the hospital to dem- onstrate home infu- sion care and answer questions. It was also one of her favorite roles. "It has such a large impact on patient care," said Bondi, R. n ., senior director of operations for n orth Carolina, o ption Care. Bondi, who recently presented the results of a study on the pre-discharge education and how it improves outcomes, spoke with HME n ews about the impor- tance of patient education and washing your hands. Coding project reveals outdated guidelines 'Education is foundation of quality' bursement services, education and pro- gramming for the American o rthotics and Prosthetics Association. "Because there's not a positive 3-D model created apart from that overall process, the MACs have said this does not meet the code and cannot be billed as such." f or providers, any insert coded as A5513 can still be billed the same way through May 31, 2018. However, manufacturers will have to submit a new applica- tion to the PDAC for both existing and new prod- ucts under that code. The MACs are likely acting out of an abun- dance of caution, say stakeholders. "They don't want to get skewered by not strictly adhering to the wording of the code," said Tom f ise, executive director of A o PA. "I think they are looking for CM s to solve this problem. If they were told to look at the device, and don't get hung up on one or two words, as long as the end product is the same, that would give them a little leeway they don't feel they have right now." DarioHealth wants to 'simplify diabetes' Party of the century The American Orthotics and Prosthetics Association's Centennial Celebration and World Congress drew a record breaking 2,500 attendees from 41 countries to the event, held Sept. 6–9 in Las Vegas. The opening ceremony featured a flag processional with AOPA partners placing flags on the stage. A full slate of sessions included the latest in clinical research, documentation informa- tion from the DME MACs, and pedorthic and technical education. To celebrate its centennial, AOPA created a Walk through Time showcase in the exhibit hall. home IV "You can get a full 30,000-foot view of what's happening with a person's diabetes, whether they're managing it on a day-to-day basis." s hmuel h erschberg Without physical model, A5513 does not meet code requirements, say DME MACs d A r I O S E E n E x T PA g E c O d I N G S E E n E x T PA g E e d u c AT I O N S E E n E x T PA g E Tom Fise Nora Bondi Briefs Diplomat Pharmacy targets key markets FLINT, Mich. – Diplomat Pharmacy has ac- quired Focus Rx Pharmacy Services, a specialty and infusion pharmacy with two locations in New York state. Last year, Diplomat Pharmacy launched Diplomat Specialty Infusion Group, a brand to unite five subsidiaries: American Homecare Fed- eration, At-Home IV Infusion Professional, BioRx, MedPro Rx and XAS Infusion. Dip- lomat's specialty infusion services focus on individuals living with chronic condi- tions like alpha-1 antitrypsin deficiency, hemophilia, hereditary angioedema, im- mune deficiencies, nutritional deficiencies and von Willebrand disease. Pro m edica sells pharmacies to cvs , retains hme biz TOL ed O, Ohio – ProMedica has sold five of its pharmacy locations in Toledo and Sylvania, Ohio, to CVS Pharmacy, according to local news reports. CVS plans to close the phar- macies and transfer all files to nearby CVS pharmacies; however, it expects to hire many of ProMedica's current employees at the pharmacies. ProMedica will retain own- ership of its other outpatient pharmacies at Toledo Hospital, Monroe Hospital and Fos- toria Hospital. It will also continue to operate its specialty, adherence and home infusion pharmacies, as well as its HME business. ProMedica is a nonprofit health system that services 27 counties in northwest Ohio and southeast Michigan. Ardon h ealth wins top honor WASHINGTON – Ardon Health was named Spe- cialty Pharmacy of the Year at the National Association of Special Pharmacy meeting in September in Washington, D.C. Addition- ally, Mike Agostino was named the recipient of the Distinguished Service to Specialty Pharmacy award. Ardon Health was select- ed from a pool of 1,200 corporate members based on its community involvement, pa- tient satisfaction, cost management, inno- vation in the field and quality/performance improvement initiatives, including patient care and outcomes, disease state and ther- apy management, and patient engagement. Agostino, the president of Amber Pharmacy and Hy-Vee Pharmacy Solutions, was se- lected based on exceptional and sustained leadership within NASP. s tudy: Telemonitoring improves c PAP adherence SAN d I e GO – The use of CPAP telemonitor- ing with automated feedback messaging improved 90-day adherence in patients with obstructive sleep apnea, according to a ResMed-supported study published in American Journal of Respiratory and Clini- cal Care Medicine. The clinical trial enrolled 1,455 patients referred for suspected OSA. Of those, 956 underwent home sleep ap- nea testing and 556 were prescribed CPAP.

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