HME News

JUN 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 CMS releases more draft templates . . . . . . . . . . . . . . . . . 16 Sleep apnea patients to meet with regulators . . . . . . . . . 16 Q&A: Dr . Michael Cantor of CareCentrix . . . . . . . . . . . . . . 16 Diabetes notes: Ascensia, Tandem, Inolife . . . . . . . . . . . . 17 ■ MSC Sleep sees opportunity with underserved populations of sleep patients, says Josh Marx. See story page 1. 16 hme news / june 2018 / www.hmenews.com By Theresa Flaher T y, Managing e ditor WASHINGTON – For several years, Congress and patient advocates have demand- ed that patients have a greater voice in the U.S. Food and D r u g A d m i n i s t r a - tion's product review process. Now, a June 8 meet- ing has been set that will bring together sleep apnea patients, industry stakeholders and FDA offi- cials to discuss the impact of the disease. "The intent of the patient engagement movement is to ensure that the FDA understands the perspectives of patients," said Adam Amdur, chief patient officer for the American Sleep Apnea Associa- tion. "These patients are impacted by a disease or condition and the FDA keeps those in mind when reviewing prospec- tive treatments, as well as the safety of treatments on the market." In the weeks leading up to the meet- ing, ASAA will collect patient and care- giver experiences through its AWAKE Sleep Apnea initiative via an online survey. The initiative allows patients to share their experiences as they relate to diag- nosis and treatment, symptom manage- ment and impact on daily life. Regulators won't fully understand By Theresa Flaher T y, Managing e ditor WASHINGTON – CMS in April and May rolled out drafts of clinical templates for an array of HME with high rates of improper payments. The agency has been creating the tem- plates, along with clinical data elements, to help reduce the overall provider burden and respond to the push in the public sec- tor toward electronic health records. In April, the agency released drafts for RADs, PAPs and vents; in May, it released- drafts for external infusion pumps and nebulizers. The product categories chosen for the templates have high improper payment rates, as outlined in a 2017 fiscal year Com- prehensive Error Rate Testing report. For example, the CERT reported an error rate of Meeting matches up sleep patients, regulators CMS releases draft templates for several specialty products 23.1% for external infusion pumps. Incom- plete documentation accounted for 76.7% of the errors. PAP has an improper payment rate of 59%, with 88% due to incomplete documentation; and vents have an improp- er payment rate of 57%, with 25% due to incomplete documentation and 58% due to medical necessity. The information in the templates is based on information that already exists in current statute and Medicare policy, and takes into account local coverage determi- nations and analysis. The agency also continues to work on templates and CDEs for oxygen; a third draft was discussed at a Special Open Door Forum in January 2017. CMS officials say they welcome feedback on the drafts, as they work to fine tune them. Feedback and questions can be sent to clinicaltemplates@cms.hhs.gov. The downloadable drafts are available on the CMS.gov website. hme New releases for RADs, PAPs, vents, infusion pumps, nebs In the fast lane Sleep Well is sponsoring NASCAR Xfinity driver John Williams this year as part of its effort toward nationwide online sales. The Bangor, Maine-based provider even paid for the team's hotel rooms so everyone would get a good night's sleep for the April 17 race at Bristol Motor Speedway in Bristol, Tenn. Sleep Well supports Williams because he works with pediatric hospitals across the country, says Noah Sargent, owner. "We wanted to be part of that." Data-driven therapy 'way of future' O S A p AT i e N T S S e e N e X T p A g e By Theresa Flaher T y, Managing e ditor T REATIN g O b STRUCTI v E sleep apnea makes patients feel better, reduces co- morbidities, and saves money— a win all around. That doesn't make it any easier for patients to get used to their PAP device, says Michael Cantor, chief medical officer for Care- Centrix. "It's a really effective therapy but it's a behavioral therapy— they have to do the same thing every night for the rest of their lives so that first three-month window is really important in getting that habit ingrained," he said. CareCentrix's iComply, a sleep management program that moves patients from testing to device fitting to compliance, uses respiratory therapists and patient data to give patients the support they need. It's important to pull out all the stops to help get new patients though those first criti- c a l m o n t h s , says Cantor. HME News: The patient is tested and fitted with a device, but what happens next to get them on the road to compliance? Dr . Michael Cantor: The PAP devices generate information and send that data though a phone connection—the patient doesn't have to do anything. The coaches watch the data and call back at intervals based on adherence. If it's not going well, there may be more extensive calls to help them figure out how to manage the device. They are really good at understanding those barriers that people have to adherence and reinforcing and coaching people. Q&A c A N T O r S e e N e X T p A g e Adam Amdur Dr . Cantor Briefs Viemed launches new corporate website LAFAYETTE, La. – Viemed Healthcare has launched a new corporate website to of- fer quick and easy access to essential information about the company's medical equipment and respiratory therapist ser- vice business. The website, www.viemed. com, also has an investor section with up- dated company news and events, financial and stock information, regulatory filings and corporate governance information. "We are excited about our new website launch and the robust information it pro- vides customers, investors, partners and media to better understand the Viemed business," said Casey Hoyt, CEO. Viemed operates through two indirect wholly owned subsidiaries: Sleep Management, which focuses on disease management; and Home Sleep Delivered, which focuses on in-home sleep testing. s takeholders publish ostomy white paper WASHINGTON – AAHomecare has partnered with several patient organizations, including the United Spinal Association, the United Ostomy Associations of America and the Spina Bifida Association, to produce a white paper on why the competitive bidding pro- gram should not be expanded to include urologicals and ostomy supplies. Both the president's budget and the Medicare Pay- ment and Advisory Committee have refer- enced such a possibility. "The danger of expanding the competitive bidding program to ostomy and urological supplies is that the minimal function of the product can take precedent over patient choice and advanced technologies, which often, and necessarily, enhances quality of life," said contributor Anna Markiewicz of Hollister, in a bulletin. K c I: Data supports remote therapy monitoring SAN ANTONIO – KCI shared data at the recent 2018 Symposium of Advanced Wound Care Spring Conference that demonstrates increased patient therapy usage immedi- ately after patient contact using its iOn Progress Remote Therapy Monitoring. The day following an adherence call, 73.5% of patients increased therapy use, with an av- erage increase of eight hours, the company says. Additionally, as adherence increased, the rate of daily change in wound volume reduction also increased, it says. "Patient adherence to treatment is an ever-present concern for clinicians, and we have suc- cessfully harnessed technology to alleviate that concern for more effective home care, and to provide smarter solutions for our customers and their patients," said Ron Silverman, MD, chief medical officer, KCI. iOn Progress delivers continuous at-home monitoring for patients prescribed NPWT at home. It works in conjunction with the ACTIV.A.C system to monitor adherence and securely transmit data to the KCI iOn Progress Care Network, a group of indi- viduals who interact with patients.

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