Page 29 - HME Business, May/June 2020

Telehealth platform aims to increase
technological capabilities, reach
for providers
Through a part-
nership with PDI
Communication
Systems, a top manu-
facturer of TVs for
hospitals, Nautilus
Medical has launched
a new telehealth platform solution for healthcare providers, patients and senior living residents. The platform is built with an intuitive user experience and integrated camera/mic on hospital TV displays that makes it easier for doctors to conduct patient video calls. Combining hardware with Nautilus Medical’s HIPAA-compliant TeleRay platform,
the partnership hopes to increase the reach and capabilities of telehealth solutions for healthcare providers, patients and their families.
Nautilus Medical
(866) 520-6477
www.nautilusmedical.com
Portable heart monitor captures
diagnostic quality waveforms
Health care profes-
sionals can access
detailed information
about a patient’s
heart rate, respira-
tion and oxygen
saturation with
Circadiance’s SmartMonitor 2 PS. The monitor includes Masimo SET technology, memory capacity of 4 MB, 15 hours of portable operation capability and a bright digital readout. Healthcare providers can capture and review diagnostic quality waveforms with the monitor’s Synergy-E Software. An easy-to- understand interface also incorporates universally recognized symbols that can help reduce language barriers. The product has a lightweight design and hospital or homecare selectable settings. Circadiance
(888) 825-9640
www.circadiance.com
COVID-19 tracker compares staff
locations to areas with rising
infection rates
To provide home-based
care providers with
more information about
the spread of COVID-
19, software company
WellSky has teamed up
with Qlik, a data analytics company, to launch the WellSky COVID-19 Tracker. Qlik has donated data analytics technology to create a heat map using clinical staff zip code data provided by client agen- cies. By comparing staff locations against confirmed COVID-19 cases., WellSky clients can track current hotspots, anticipate locations with rising infection rates and distribute PPE resources to areas that need it most.
WellSky
(888) 633-4927
www.wellsky.com
Renew
Renew
Managing Diverse Payer Relations
Good at negotiating? You’ll need to be.
What’s Inside:
Six-Year Lookback Audits . . . . . . . . . 12 Medtrade Product Preview . . . . . . . 18 OutsourcedBilling . . . . . . . . . . . . . . 33 HiringOffshoreStaff . . . . . . . . . . . . . . . 8 Retail’s Sales-Inventory Link . . . . . . . . 10 ManagingYourHME‘Fleet’ . . . . . . . . 40 Diabetes Management Services . . . . . 42
HME Providers Must Learn to Work with Many More Payers
EBuasicnehss Omecettsowbithevra,rioHusMmeEmbers of its editorial advisory board (you can find the full list of the board on page 6 p ) r o a v b i o d u e t r s c r w i t i i l c l a n l e t e r e d n t d o s a t d h d e r y e b s s e l i i n e v t he e coming months . Usually, this round- tranbgleedoisfcinusisgiohntsrfersoumltsanineaqburaollayd diverse group of experts .
Not this year . Surprisingly, the board members participating in this year’s roundtable were almost unanimous in their opinion: providers will need to learn to work with a wide variety of payers and revenue sources .
We’ve known for many years that the Medicare-only business model has become untenable for HME providers . We’ve also known that they must diversify revenues . For many, retail was the first viable option in that regard, and it wasn’t long before the “caretailing” blend of Medicare and retail revenue caught on .
However, the board is saying providers must approach this far more strategically . Medicare and retail are critical revenue sources, but HMEs must go further . They must explore private payer insurance . They must tap into managed care . They must investigate opportunities in supplying facilities-based care . Moreover, all of that will require high-level payer relations, deal-making, and contract negotiation .
Advisory Board
Roundtable . . . . Starts on Page 28
October 2019 Volume 26, Number 8 hme-business.com
What’s Inside:
S R u e c s u c e p e p d l y i n B g e i y n o Cn d B DS l e S e a l p e s . . . . . . . . . . . . . . . . . . . 2 1 4 2 Billing: The Outsourcing Option . . . . 6 P R a o t u i e n n d t u Cp : o S m l e m e p u n P i r c o a d t i u o c n t s A p . p . . s . . . . . . . . . . . . 2 8 6 HMEInventory . . . . . . . . . . . . . . . . . . . 27 MakingaDifferencein2020 . . . . . . . . 30 Make Sure Your Plans for the New Year Factor in these Trends
T y e a o r r e mp r e o s e s n t t s , a t n h o p e p o s r t t a u r n t i ot y f t a o n e w p m u o t n t t h h e s f b r u e s h t i r n a d t i o u n s s a n o d f t s h t e a r p t r r e e v c i o o mu s m 1 i 2 t - ting ourselves to goals we still must
a t i c v h e i s e . v I t e ’ , s a a s c w h e a l n l c a e s t t oa r s g e e t t t n h e e w s t o a b g j e e c - for what will hopefully be your best performance to date . buHsionwesesveprl,aynosuwcitahno’tumt akgeoNodewidYeeaaor’fs what the industry landscape will look like during the next trip around the sun . Providers must consider regula- tory challenges, funding changes, demographic shifts, and new oppor- tunities that could impact their plans . That’s why, each year, HME Business produces its annual Big Ten list . This year’s Big Ten takes a look at major trends, such as the fact that later in the year, we’ll finally get a chance to see how Round 2021’s lead item pricing — and providers’ bidding strategies in response to it — impacted reimbursement rates . It examines big trends, such as another expansion of six-year lookback audits, as well as the continued drive to diversified payers and what that means in terms of payer relations, contract negotiations and compliance . Other pivotal trends include e-prescription, CBD, revenue cycle management, and lots more . Make sure your 2020 planning includes a read-through of our latest Big Ten . ABingnTueanl HLiMstE . . . . Starts on Page 10 J a V n o u l a u r m y e / F 2 e 7 b , r N u u a mr y b e 2 r 0 1 2 0 hme-business.com
1/23/20 9:42 AM
SETTING
THE
001_cover_v4_0120hme_noslab.indd 1
STAGE
10 TRENDS THAT WILL IMPACT HME IN 2020
DIY RCM
What options are available to HME providers that can’t outsource their RCM?
RCM is a Key Process & There Are Ways to Build Your Own
We’ve all heard of rev- enue cycle management . Healthcare organizations such as hospitals, care providers, and health plans have been employing and refining RCM to opti- mize and maximize their revenues and margins . RCM is the tool that ensures success in an outcomes-oriented healthcare marketplace .
It’s taken a while for RCM to “trickle down” to the realm of post-acute care, including home medical equipment, but it’s here now . For at least the past two or three years, some HME businesses have been implementing RCM solutions to improve workflows, patient outcomes and bottom-line performance . Those early adopters have seen first-hand how RCM can revolutionize a business .
That said, typically those earlier HME industry implementations of RCM have been on a larger scale and outsourced . So, where does that leave the majority of providers that clearly understand the value of RCM but might not be at a scale that lets them join the outsourced RCM game?
It turns out there are tools available to all providers that can let them create their own RCM solutions . Those homegrown solutions might not have the scalability and flexibility of outsourced RCM, but can at least start to yield some of RCM’s rewards . Read this month’s cover, “DIY RCM for HME,” story to learn more .
Do-it-Yourself
RCM . . . . . . . . . . Starts on Page 20
What’s Inside:
Medtrade Spring Sneak Peek . . . . . 12 News, Trends & Analysis . . . . . . . . . . 6
Take the Time to Get Involved . . . . . . 4 AccreditationOfferings . . . . . . . . . . . 26 HMEInventory . . . . . . . . . . . . . . . . . . . 28 HMEAdvocacySavesLives . . . . . . . . . 30
March 2020 Volume 27, Number 2 hme-business.com
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Management Solutions | Technology | Products
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