HME News

November 2011

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46 Databank Medicare Market Marker E1390: OXYGEN CONCENTRATOR Region C 303,184 HMEDATABANK.COM The HME DataBank has the latest Medicare reimbursement data for the top 1,000 HME providers nationally in 103 key product Region D 175,163 Region B Region A 6/10 7/10 8/10 9/10 151,364 100,544 10/10 11/10 12/10 1/11 E0260: SEMI-ELECTRIC HOSPITAL BED 2/11 3/11 4/11 5/11 categories, as well as for all of the products in the NCB program. You can determine your market share, look for new product opportunities and check out your competition using the latest available Medicare data. Go to hmedatabank.com to learn more. data! data! Region C Region A 60,121 28,651 POLL WWW.HMENEWS.COM / NOVEMBER 2011 / HME NEWS HME NEWS "We are currently billing 20% more than we did last year. Not only more Medicare, but we have been able to get several managed care contracts." —anonymous "We have replaced approximately 20% of our Medicare business with cash sales. The largest increase has been in seat lift chairs and stairglides." —Joe Magill, Aston Pharmacy, Aston, Pa. NewsPoll based on 106 respondents. Region B Region D 27,578 25,823 Have you decreased your Medicare business in 2011 compared to 2010? If yes, what are you replacing your Medicare business with? HMENEWS.COM 6/10 7/10 E0601: CPAP 8/10 9/10 10/10 11/10 12/10 1/11 2/11 3/11 4/11 5/11 Most viewed stories in September Region C Region D 73,005 44,272 1. Round 2: Bigger than expected? 2. There is no going back Region B Region A 37,738 25,621 3. 'The idea is not to get in a fi ght with CMS' 6/10 7/10 8/10 9/10 10/10 11/10 12/10 K0001: STANDARD WHEELCHAIR 1/11 2/11 3/11 4/11 5/11 4. AASM shifts sleep strategy 5. In brief: Region C 41,779 Court dismisses bidding complaint, Scooter Store sued Region D Region A Region B 6/10 7/10 8/10 9/10 10/10 11/10 12/10 K0823: POWER WHEELCHAIR** Rehab (25, 20.1) Region C 16,748 1/11 2/11 23,462 21,257 20,188 3/11 4/11 5/11 6. Insurer boosts profi le of APAP devices Our broad market index and The TBG Composite Index posted declines for the 5th and 6th consecutive months, respectively. Of the fi ve sectors that fell in September, four (Hospital, HHA & Hospice, Long Term Care and Healthcare Staffi ng) posted double-digit declines, as stock prices continued to be affected by federal budget negotiations, including President Obama's announced defi cit reduction plan. 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. The RemitDATA Denial Tracker OVERALL MARKET HME COMPOSITE HEALTH CARE The Braff Group Index HHA Region D 7,933 Region B 6,113 Region A 4,167 6/10 7/10 8/10 9/10 10/10 11/10 12/10 1/11 2/11 3/11 4/11 5/11 **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. 9/10 10/10 11/10 12/10 1/11 2/11 3/11 4/11 5/11 6/11 7/11 8/11 9/11 Respiratory (15.2, 12.4) DME (18.8, 16.9) 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 approximately 2,056,135 Medicare claims and 1,594,635 commercial claims adjudicated between Sept. 1, 2011, and Sept. 30, 2011. 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 9/10 10/10 11/10 12/10 1/11 2/11 3/11 4/11 5/11 6/11 7/11 8/11 9/11

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