Issue link: http://read.dmtmag.com/i/59015
50 Databank Medicare Market Marker E1390: OXYGEN CONCENTRATOR Region C 299,133 HMEDATABANK.COM Region D 164,182 Region B Region A 11/10 12/10 1/11 2/11 3/11 4/11 149,794 99,168 5/11 6/11 E0260: SEMI-ELECTRIC HOSPITAL BED Region C 59,145 7/11 8/11 9/11 10/11 The HME DataBank has the latest Medicare reimbursement data for the top 1,000 HME providers nationally in 103 key product cat- egories, as well as for all of the products in the NCB program. You can determine your market share, look for new product opportu- nities and check out your competition using the latest available Medicare data. Go to hmedatabank.com to learn more. data! data! Region D 27,546 HME NEWS POLL "Our system is set up to verify Medicare eligibil- ity every month. If we see patient was in a hospital or SNF during that time, we send payments back to Medicare." —Shirley Zabelicky, Baird Respiratory Therapy "We have a chart review process that reviews prior to billing for proper docu- mentation, after billing to check a second time, and again upon payment." —Polly-Jo Hightower, Alpert's Medical Equipment Region B Region A 11/10 12/10 E0601: CPAP 1/11 2/11 3/11 4/11 5/11 6/11 7/11 8/11 27,158 25,451 HMENEWS.COM 9/11 10/11 Most viewed stories in February Region C 74,476 1. Benefi ciaries in Round 2 bid area get wakeup call Region D Region B Region A 11/10 12/10 1/11 2/11 3/11 4/11 K0001: STANDARD WHEELCHAIR 5/11 6/11 7/11 44,526 38,853 26,340 8/11 9/11 10/11 2. CMS weighs in on bid data 3. Providers make more educated, but still painful, bid decisions Region C 41,930 4. Stakeholders switch gears at Legislative Conference 5. Competitive bidding: Petition aims for 'real change' Region D Region B Region A 11/10 12/10 1/11 2/11 3/11 4/11 K0823: POWER WHEELCHAIR** Rehab (25.5, 22.2) Region C 34,074 5/11 6/11 7/11 24,205 21,047 19,813 8/11 9/11 10/11 The RemitDATA Denial Tracker Do you have policies and procedures in place to help you identify overpayments? WWW.HMENEWS.COM / APRIL 2012 / HME NEWS Have you ever disclosed and returned identi- fi ed overpayments to Medicare? 68 RESPONDENTS NewsPoll based on 103 respondents. The Braff Group Index HHA COMPOSITE HEALTH CARE HME OVERALL MARKET For the 3rd consecutive month, the TBG Composite Index and our broad market index posted gains. HHA & Hospice led the way, up 17.3%, boosted by double digit gains by Amedisys, LHC Group and Almost Family. All seven sectors that we track posted gains, includ- ing three consecutive monthly increases by HHA & Hospice, DME, Long Term Care and Staffi ng, and a record index for eHealth. The Braff Group Index measures the stock performance of 38 companies in seven key healthcare service sectors — Home Medical Equip ment, Home Health Services, Specialty Phar ma cy, Hos pi tals, Long Term Care, e-Health and Health Care Staffi ng. The Com pos ite Index includes all of the sectors. All stocks were indexed to 100 on Feb. 29, 2000. Source: The Braff Group, 412-833-5733. Region D 14,549 Region B 13,313 Region A 9,056 DME (22.7, 18.2) Respiratory (20, 13.4) 11/10 12/10 1/11 2/11 3/11 4/11 5/11 6/11 7/11 8/11 9/11 10/11 **All standard power wheelchairs are now 13-month capped rental items, meaning what was billed once is now billed as many as 13 times. *The Medicare Market Marker provides a monthly look at the number of Medicare benefi ciaries for whom the four MACs have allowed a claims payment. 2/11 3/11 4/11 5/11 6/11 7/11 8/11 9/11 10/11 11/11 12/11 1/12 2/12 The RemitDATA Denial Tracker is an index of the percentage of Medicare and commercial claims rejected on a monthly basis. The most recent month's data set represents an analysis of approxi- mately 1,927,657 Medicare claims and 1,555,799 commercial claims adjudicated between Jan. 1, 2012, and Jan. 31, 2012. The index is a categorized and weighted analysis of claims fi led by RemitDATA customers. (number of allowed benefi ciaries) (number of allowed benefi ciaries) (number of allowed benefi ciaries) (number of allowed benefi ciaries) (number of allowed benefi ciaries) SOURCE: PDAC SOURCE: REMITDATA: 901-767-9830 2/11 3/11 4/11 5/11 6/11 7/11 8/11 9/11 10/11 11/11 12/11 1/12 2/12