HME News

JUL 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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Providers 14 www. HM enew S .co M / july 2018 / HM e new S D OU g C OLEMAN C o N T i N u e d f R o M pa g e 1 3 CLEARWATER, Fla. – l incare will pay $875,000 to settle a lawsuit filed by employ- ees whose information may have been exposed in a "phishing attack." The lawsuit stems from an incident on Feb. 3, 2017, when a cyber-criminal posing as a high-level l incare execu- tive emailed a l incare human resources employee and requested W-2 informa- tion for all employees. The HR employee responded with attached W-2 data for a certain number of employees of l incare and its affiliates. o n Feb. 10, 2017, l incare sent notice of the attack to all impacted current and former l incare employees, notifying them that their information may have been compromised. The company offered two years of complimentary credit moni- toring, remediation services and identity Lincare settles lawsuit theft insurance. o n o ct. 16, 2017, however, a ndrew g iancola, Raymond Scott and Patricia Smith filed the lawsuit, alleging negli- gence, breach of fiduciary duty, breach of implied contract and violation of Flori- da's Deceptive and u nfair Trade Practices a ct. Per the settlement, $550,000 will be used to compensate class action members who suffered an out-of-pocket loss and $325,000 will be reserved for members who experienced an "eligible incident," like a fraudulent tax return. l incare has also implemented, or has agreed to implement, additional secu- rity measures, including an external HIP aa risk assessment every two years; an annual risk assessment of employees' data; updated spam filter; and employee education. a s part of the agreement, l incare admits to no wrongdoing. HME Green thumbs up! a eroflow Healthcare recently held its a nnual Community g arden d ay at its a sheville, N.C., headquarters. e mployees and their families built planter boxes and painted picnic tables in anticipation of warmer weather. The commu- nity garden is one of many volunteer efforts in which the provider participates. be a seamless transition." a s a result, a BC Health Care has seen its cash flow decrease by $450,000— 55%—from the fourth quarter of 2017 to the first quarter of 2018. Further delaying payments: Providers are getting requests for C mn s after they send in claims that have been authorized for payment, they say. "We don't put out anything without an authorization," said Chris Smythe, vice president at Tycon m edical, which has locations in n orfolk and Portsmouth, Va. "There shouldn't be delays. We have tons of claims that haven't been paid." o ther issues have included Humana m ilitary saying it never received a claim Doug Coleman: We are one of the few industries that has little influence on what we get paid. Whether it's m edicare, competitive bidding, Tricare, workers' compensation and all the private insur- ances, they usually use m edicare as their baseline for D me . If we can achieve even a modest improvement in m edicare pric- ing, it's going to parlay into all better pricing for all of the payers. HME: It seems like it is always the same people who stay active on the issues. What would you say to the folks on the sidelines? Coleman: It's much easier than people think. It doesn't take much time and Per the agreement, provider admits no wrongdoing effort to educate our elected officials on what we do. m ost of them will make time to visit your location so they can learn first-hand. I've found most to be good people who care deeply about how things are run and want to improve things. HME: What do you find rewarding about being a provider? Coleman: o ur mission statement is "We love helping people." Its extremely rewarding to be able to help patients either live out their twilight years in their preferred location, or whether it's a life changer like vent kids who in the past would have died or been institu- tionalized now able to get as a good a life as possible. If we do a good job of that, and pay attention to the other details, we'll be successful. HME TRICARE TRANSITION NI gh TMARE C o N T i N u e d f R o M pa g e 1 lift chairs, scooters and power chairs, m ed m art's 10,000-square-foot showroom offers thousands of products to choose from. Besides providing those who can't or have difficulty leaving their homes with a better buying experience, Fesman says the new virtual showroom will help customers make the right choice the first time, reduc- ing returns. a nd while a good online retail presence is important, says Fesman, there's often a bar- rier to entry when it comes to e-commerce. "It's very competitive and expensive to advertise," he said. "But at the same time, I think that everyone can do retail within rea- son, with the right amount of funds and the right amount of staff." HME MED MART C o N T i N u e d f R o M pa g e 1 3 to bill for supplies. "We told them that was not sustain- able in January and we told them again in m arch," said Karyn e strella, executive director of H ome S. "Companies were taking a loss and a couple of providers told the state they'd have to stop doing m edicaid." HME and it paying claims at drastically differ- ent amounts for the same item. While there has been a slight improve- ment recently, providers say they are frus- trated. a BC Health Care had a call with senior-level representatives from Huma- na m ilitary and WPS in m ay and expected to follow up with them. a gency officials seemed willing to hear their concerns, but a BC was staying cau- tious, said m iller. "We're hearing some of the right things from them and it sounded like they are fairly aware of some of the claims-related issues," said m iller. "But it sounds like they've been aware for five months and the backlog still isn't sorted." HME VERMONT C o N T i N u e d f R o M pa g e 1 3

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