HME News

APR 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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HME Providers Pharmacies Home Infusions Hospice Home Health Providers at Booth 1665 MedTrade Expo Atlanta, GA 8/24-25/2017 Smart Talk 810-653-5000 | uni v e r salss.com Serving the nation's largest providers WE'LL CARE FOR YOU, SO YOU CAN CARE FOR THEM. SO YOU CAN CARE FOR THEM. Your patients rely on you for quality care and peace of mind. Don't you deserve the same from your software provider? Trust your systems to Universal Software Solutions. We'll be here for you. Always. Let our HDMS software help you run and grow your HME practice. From estimates and customer intake to patient care and billing, our strong built-in workflow engine and powerful API will allow for tight integrations across platforms, giving you more time for what matters most: patient care. See what we can do for you: HME Providers Pharmacies Hospice Home Health Providers Medtrade Spring Booth #554 Las Vegas March 27-29, 2018 hme news / april 2018 / www.hmenews.com 9 e n G a G ed Te C hnolo G y l e G al medtrade booth 554 d on't run afoul of the a K s By t o DD Moo D y Q. My patients need a qualifying test and a physician interpretation of that test in order to obtain a prescription for an item. Can I pay for all or part of the cost of the test or the interpretation? a . It depends on how the item will be paid for and where the patient lives, but for most patients this would not be acceptable. The Federal Anti-Kickback Stat- ute (AKS) prohibits a DME sup- plier from giving a person some- thing of value to induce the person to purchase an item covered by a federal health care program. Most states have similar laws, and some states have an AKS that applies regardless of how the item is being paid for (e.g., Medicaid, commercial insurance, cash). Paying for the cost of a test or its interpretation could be seen as relieving a patient of a cost the patient would otherwise be responsible for. And even if the patient's insur- ance would otherwise cover the test or its interpretation, the DME supplier could still be relieving the patient of a cost if the patient has cost-sharing obligations. So if a DME supplier or an affil- iated entity pays for a patient's qualifying test or its interpreta- tion, there is a risk that a regula- tor would view this as the supplier giving the patient something of value in the form of covering the cost of the test or interpretation in order to induce the patient to purchase the prescribed item from the supplier. hme Todd Moody is a healthcare attorney with Brown & Fortunato. Reach him at tomood@bf-law.com. Practice connectivity By Val o rnoy Q. h ow can I ensure the transition to the home is successful? a . When a failed transition occurs between acute and post-acute providers, the patient experi- ences diminished or problematic medication adherence, appoint- ment and treatment compliance failures, and little to no trans- parency over information that could result in early preventative care measures. Combined, these issues create wide-scale medical crises and increased healthcare costs that are often preventable. Not to mention the significant stress and health damage done to the patient. The cost is physical, emotional and financial. As care complexity and acuity increases it is vital that all par- ticipants across a patient's health- care team be invested, connect- ed and collaborating to stop the continued growth of costly and life threatening failures in care transitions. Care teams utilizing dynamic, connected care circles to provide ongoing education, support and care oversight are proving to be a fundamental requirement to reduce healthcare costs and sup- port successful patient outcomes. Patient-centric connectivity across all physicians, to home health agencies, family, senior living, and community support organizations provides the patient with peace of mind that everyone in their healthcare team is always on the same page and receiving the information they need to provide the best and earliest care possible. Care-in-place and age-in-place will continue to be the preferred and less costly of care scenarios and technology now provides the ability for all involved to be collab- orative (as appropriate) in the care circles and follow the recipient across their care related journey. Regardless of tech-sophistica- tion, the care recipient can be securely connected and sharing daily activities, care-related tasks and stay in touch with caregiv- ers and family members. Today's care technology enables transi- tions to be fluid and seamless while providing the data and real- time information needed across traditional and digital healthcare devices and scenarios. Interde- pendence provides the safety net for care transitions. hme Val Ornoy is CEO of LifeAssist Technologies. Reach him at val@lat. care.

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