HME Business Podcast

This is the second of three special, post-Medtrade episodes. Third-party administrators (TPAs) are increasingly getting involved in Medicaid Managed Care Organizations (MCOs) and often run right past protections for providers. Furthermore there have been some business developments in the MCO-TPA world that are compounding this problem. Laura Williard VP of payer relations for AAHomecare, provides...

This is the first of three special, post-Medtrade episodes. As many providers know, CMS has added non-invasive ventilators to Round 2021 of competitive bidding. Jay Witter, senior vice president of public policy for AAHomecare, discusses the work done thus far to convince CMS to reverse its worrying course of action, as well as CMS's lack of a viable response, which has culminated in a pending leg...

Just in time for the Halloween season, we break some SCARY audit news: The HHS Office of Inspector General has expanded its audit workplan to include PAP supplies — again. Sleep equipment providers might recall that HHS OIG clamped down on claims for replacement PAP supplies in June 2018 after reporting that it had made overpayments of almost $631.3 million at that time. Now HHS is at it again, an...

Did you know home oxygen fires kill one home oxygen patient every four days in the United States? Do you know what HME providers can do to help mitigate the issue? In this special edition of the HME Business podcast, Richard Radford, managing director of BPR Medical Gas Control, joins the podcast to discuss a new study his company produced that examines the incidence of home oxygen fires in the Un...

In this special edition of the HME Business podcast, Executive Editor David Kopf interviews Sunil Krishnan and Fadi Haddad of HME and post-acute software company Brightree to take a deep dive into Revenue Cycle Management (RCM). They discuss what RCM is, how RCM can help HME providers better manage their businesses, how they can shape performance metrics around their RCM, and how they measure and...

Jeffrey Baird, Esq., chairman of the Health Care Group at industry law firm Brown & Fortunato, P.C., discusses Medicare and Medicaid managed care opportunities, and how his Sept. 5 webinar, Managing the Managed Care Opportunity (hme-business.com/webcasts), will help providers negotiate managed care contracts. Then, Jim Worrell, chief commercial officer at Quality Biomedical, discusses the complica...

In this special edition of the HME Business Podcast, Executive Editor David Kopf interviews with Dr. David White, chief medical officer of Philips Sleep & Respiratory Care to examine a specific sleep therapy condition, positional sleep apnea, which deserves some special attention. Roughly 30 to 40 percent of apnea patients have the condition, and they can have twice as many apneas and hypopneas wh...

After a long career in business-to-business media and the HME industry, HME Business Publisher Karen Cavallo is retiring. Executive Editor David Kopf — who will move into Karen's role as publisher — sits down with Karen to talk about her storied career in media and the home medical equipment industry. The two reflect on the major changes that have occurred both in HME and media, and the interestin...

John Gallagher, vice president of VGM Government Relations, and Ronda Buhrmester, Director of Reimbursement for VGM, discuss CMS's decision to change the zip code designations for 381 zip codes. Then, Ty Bello, president and founder of HME sales training and coaching company Team@Work, and Jonathan Walters, vice president of Leadership Development & CRT Coaching, share their insights into new appr...

In this episode, Seth Johnson, senior vice president of government relations for both Quantum Rehab and Pride Mobility Products, talks about Quantum Rehab's iLevel. Now more than 25,000 consumers use the technology, which lets users of complex rehab power wheelchairs travel at walking speeds while their seats are elevated up to 12 inches. Moreover, various payers are funding it. The big question i...

Each spring, the American Association for Homecare hosts its Washington Legislative Conference in Washington, D.C. to help providers meet with their lawmakers and staff on behalf of the industry. This year's event, held on May 22 and 23, slated more than 300 meetings covering a packed agenda of items ranging from rural relief, to protecting respiratory concerns, to CRT. In this episode, a variety...

This special episode examines how providers of more than sleep therapy supplies—for example, incontinence, diabetic supply, and enteral nutrition—can expand and optimize their resupply programs to increase revenues and patient care. Executive Editor David Kopf interviews Morgan Dopplick, the Director of Connect Operations for Brightree, and Margaret Lindskog, the Director of Operations for ReSuppl...

Industry legislative expert Cara Bachenheimer of industry law firm Brown & Fortunato and General Counsel to the American Association for Homecare, offers key details on Round 2021; how providers should prepare; and a new educational site to help them. Also, AAHomecare President and CEO Tom Ryan and NCART Executive Director Don Clayback discuss their organizations' upcoming events.

Longtime HME Business contributor Sandra Canally, founder and CEO of accreditation organization The Compliance Team, chats with Executive Editor David Kopf about where accreditation has been, where it is going with trends such as the bid gap, the emergence of specialized accreditation, and how these services are helping providers sharpen their edge while improving outcomes for patients and referra...

Nikki Jensen, vice president of Essentially Women, joins HME Business Executive Editor David Kopf again, this time to discuss The Breast Cancer Patient Equity Act, why Medicare needs to fund custom breast prostheses, and the #LetHerDecide awareness and advocacy campaign. Then Wayne van Halem, president and founder of audit consulting firm The van Halem Group gives listeners the low-down on six-yea...

HME providers are constantly hunting for opportunities to diversify and broaden their revenues, and two such openings are managed care contracts and women's health. HME Business Editor David Kopf sits down with Jeffrey S. Baird, Esq., the chairman of the Health Care Group at law firm Brown & Fortunato P.C., to learn more about managed care contracts — as well as a series of articles he's written f...

The 116th Congress has been in session for a few weeks now, so HME Business Editor David Kopf checks in with Tom Ryan of the American Association for Homecare (AAHomecare) and Don Clayback from the National Coalition for Assistive and Rehab Technology (NCART) to find out what they have in the works in terms of their legislative and regulatory agendas for 2019.

To kick off the HME Business Podcast, host of the podcast and editor of HME Business Magazine David Kopf gives some insight into the mission and future of the podcast. He is joined by HME sales expert Ty Bello, who offers listeners some takeaways as to what providers should be doing for strategic sales planning.