But did you know that Home Medical Equipment (HME) providers have the opportunity to experience our signature commitment to deliver excellent value and enable the success of our members?
Our HME payer contracts currently offer providers access to approximately 168 million covered lives, and we continually strive to expand payer access opportunities for our network providers.
The strength of our network enables us to negotiate contracted rates that frequently exceed what is offered to independent providers, and to networks that may be closed to individual providers. Our payer contracts generally cover a wide array of products and services including products and services not covered by Medicare, giving network providers access to additional sources of revenue. Network provider claims are submitted directly by providers to payers, providers receive remittances directly from payers, and we do not receive any fees from the payers.
Members have access to the CMS Diagnosis Analysis tool, an extensive database that allows members to search paid Medicare claims by city, state, procedure code, and provider. This data can help you analyze opportunities to determine where to focus your marketing efforts, and understand referral patterns in your community.
Members receive personalized assistance from industry experts, to share business reviews, update staff on industry changes and best practices, introduce new business partners and explore opportunities for diversification.
As for anticipating the legislative and payment models developments that might affect the HME market – our Legislative Affairs team provides you with a range of updates, information and advocacy resources.