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NC Medicaid Rate Reductions Are Now in Effect

NC Medicaid Rate Reductions Are Now in Effect

by Jayme Edwards | Oct 24, 2025 | Regulatory Insight

As of October 1, 2025, North Carolina Medicaid has implemented provider rate reductions that are already affecting reimbursements across multiple care categories, including DME AND HME services. The North Carolina Department of Health and Human Services (NCDHHS)...
Final CMS NCD Expands Coverage for NIPPV in the Home—Here’s What to Do Now

Final CMS NCD Expands Coverage for NIPPV in the Home—Here’s What to Do Now

by Jayme Edwards | Oct 17, 2025 | Uncategorized

The Centers for Medicare & Medicaid Services (CMS) has finalized its national coverage determination (NCD) for noninvasive positive pressure ventilation (NIPPV) in patients with chronic obstructive pulmonary disease (COPD) who have chronic respiratory failure....

Operations Management: A Bottom-Line Solution  

by Jayme Edwards | Sep 16, 2025 | Industry

By Miriam Lieber Meet the Expert: Miriam Lieber is president of Lieber Consulting LLC, a national consulting firm specializing in revenue cycle management for HME providers. With decades of experience, Lieber partners with organizations to improve operational...
Maximize DME Resupply Profits: How to Build a Program That Drives Revenue

Maximize DME Resupply Profits: How to Build a Program That Drives Revenue

by Jayme Edwards | Aug 15, 2025 | DME Software

A well-executed resupply program can generate consistent, recurring revenue and increase profit margins for DME providers, but reaching that point takes more than good intentions. It requires strategy, efficiency, and a clear understanding of payer rules. In this...
CMS Proposed Rule Could Slash Reimbursement and Limit Contracts—Here’s What to Know

CMS Proposed Rule Could Slash Reimbursement and Limit Contracts—Here’s What to Know

by Jayme Edwards | Aug 12, 2025 | Regulatory Insight

A newly released CMS proposed rule could significantly reduce DMEPOS reimbursement rates and limit the number of Medicare contracts available—changes that would be especially harmful to small providers.  The DME industry has until Friday, August 29, to submit comments...
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