Meet the most important room - The Bathroom

When designing for accessibility, in accordance with individual functional capabilities, no location in the home is more important than the bathroom. It is often the first or the only room to need modification. The bathroom is the common denominator for all of the members of the family since independent maintenance of personal hygiene is important to every member's sense of privacy, self- esteem and personal hygiene. Family members and guests do not need constant reminders of the client's disability. A person with a disability is not a patient, and therefore, institutional precedents are not appropriate. The appropriate goal is to provide, as unobtrusively as possible, precisely what is needed in order to function by including design considerations that provide adaptability to future circumstances.

"If we are to truly pursue the principles of Universal Design for our built environment, then we should be forward thinking in terms of how we design new homes or modifications of existing ones". Wally Dutcher, Universal Design Consultant and specialist.

Layout Considerations The choice of fixtures, locations, and architectural solutions will be influenced by such non-physical factors as family constraints, what changes landlords will allow, and the client's personal habits or preferences. Physical factors include the type of disability the client's range of motion, and the physical context of the building. The bathroom is a prime location for household accidents. The combination of water and soap can easily create conditions that are hazardous to the frail, the elderly or the wheelchair user in the midst of a transfer. All surfaces and handholds should be non-slip. Water temperature should be regulated by thermostatic controls or pressure compensation devices, and the water heater should be preset at a limit of 109°F (43°C). Provide an emergency call system and emergency hardware for the door so that if an accident does occur the occupant can summon help and the helpers can get into the room. Safety must be kept firmly in mind at all stages of the design process. Accessibility is for all, so your design should suit the needs of everyone!

Posted by Ronnie Wiskin of Barrier Free Living

Medicare: What you don't know WILL make you sick

The most serious issue facing the home medical equipment industry right now is competitive bidding. In its current form, it will have a devastating effect on both medical equipment providers and their patients -- our parents, grandparents and other loved ones.

A study commissioned by VGM concluded that CB will have a horrible effect on rural areas, which is the opposite of what CMS has been telling lawmakers and the medical equipment industry.
This study, as well as some interviews with individuals who use HME and related services, is the basis for VGM TV’s first show, “Medicare: What You Don’t Know WILL Make You Sick."


View Part 3 of this series to learn more about the serious service access issues that could result from competitive bidding.

Medicare: What you don't know WILL make you sick Part 3

The most serious issue facing the home medical equipment industry right now is competitive bidding. In its current form, it will have a devastating effect on both medical equipment providers and their patients -- our parents, grandparents and other loved ones. A study commissioned by VGM concluded that CB will have a horrible effect on rural areas, which is the opposite of what CMS has been telling lawmakers and the medical equipment industry. This study, as well as some interviews with individuals who use HME and related services, is the basis for VGM TV's first show, "Medicare: What You Don't Know WILL Make You Sick." View Part 3 of Medicare: What you don' t know WILL make you sick to learn more about service access issues that could arise as a result of competitive bidding.

Medicare: What you don't know WILL make you sick Part 2

The most serious issue facing the home medical equipment industry right now is competitive bidding. In its current form, it will have a devastating effect on both medical equipment providers and their patients -- our parents, grandparents and other loved ones.

A study commissioned by VGM concluded that CB will have a horrible effect on rural areas, which is the opposite of what CMS has been telling lawmakers and the medical equipment industry.
This study, as well as some interviews with individuals who use HME and related services, is the basis for VGM TV’s first show, “Medicare: What You Don’t Know WILL Make You Sick."

Click here to view Part 2 and learn the potential impact Competitive Bidding could have on our rural communities.

Medicare: What you don't know WILL make you sick Part 1

 The most serious issue facing the home medical equipment industry right now is competitive bidding. In its current form, it will have a devastating effect on both medical equipment providers and their patients -- our parents, grandparents and other loved ones.  A study commissioned by VGM concluded that CB will have a horrible effect on rural areas, which is the opposite of what CMS has been telling lawmakers and the medical equipment  industry. This study, as well as some interviews with individuals who use HME and related services, is the basis for VGM TV's first show, "Medicare: What You Don't Know WILL Make You Sick," View part 1 of VGM TV's Medicare: What You Don't Know WILL Make You Sick.

Medicare Patient Responds to Orlando Sentinel

Medicare Patient Responds to Orlando Sentinel By Aaron Thomas Mike Thomas' recent column on Medicare's competitive bidding program for home equipment and services was biased and laden with problems. It is based upon the flawed premise that medical equipment and related services (oxygen therapy , wheelchairs, etc.) delivered to Medicare beneficiaries in their homes should be reimbursed based on what one would pay on the Internet or at a retailer for the equipment alone. As someone who has used a wheelchair since the age of 4 due to a form of muscular dystrophy , I can tell you that a power wheelchair, specifically fitted for my disability, cannot be acquired over the Internet. Even oxygen, as a regulated prescription drug, can't just be picked up at a local Walmart. Should a user who depends on supplemental oxygen to stay alive pick it up at Walmart, adjust the flow rate, and maintain this system, plus a back-up, on their own? Will Walmart provide emergency supplies of oxygen after a hurricane when the power's out? What some don't understand is that getting the cheapest reimbursement for a medically required device for home use is not in the patient's or taxpayer's best interest. Quality home medical equipment and services help keep seniors and people with disabilities safe and independent in the most cost-effective setting for care -their own homes. Medicare currently pays under $7 per day to provide oxygen therapy in the homes of people with lung disease or heart failure. Compare that to more than $7,000 on average that Medicare pays for a short hospital stay. Bottom line: quality equipment and services provided to Medicare beneficiaries in their homes is part of the answer -not the problem -to Medicare's financial crisis. This poorly designed Medicare bidding was implemented for two weeks in 2008. The program excluded 90 percent of local area providers, excluded qualified applications, and awarded contracts to unqualified providers with no experience in this area. Had the program continued, patient choice, access to care, and quality competition would have suffered. Unfortunately , the flaws in this program remain. It's due to resume in Orlando and Miami in 2011. There is no way to predict the detrimental impact on Florida beneficiaries. A bipartisan bill to repeal Medicare bidding is supported by 255 members of Congress and designed to be budget neutral. The bill would cut payments to home medical equipment to make up for the savings the bid program would have reaped -without dismantling the existing network of home medical providers. Aaron C. Bates lives in Orlando.

Medicare Patient Responds to Orlando Sentinal

Medicare Patient Responds to Orlando Sentinel
By Aaron Thomas

Mike Thomas' recent column on Medicare's competitive bidding program for home equipment and services was biased and laden with problems.



It is based upon the flawed premise that medical equipment and related services (oxygen therapy , wheelchairs, etc.) delivered to Medicare beneficiaries in their homes should be reimbursed based on what one would pay on the Internet or at a retailer for the equipment alone.

As someone who has used a wheelchair since the age of 4 due to a form of muscular dystrophy , I can tell you that a power wheelchair, specifically fitted for my disability, cannot be acquired over the Internet.

Even oxygen, as a regulated prescription drug, can't just be picked up at a local Walmart. Should a user who depends on supplemental oxygen to stay alive pick it up at Walmart, adjust the flow rate, and maintain this system, plus a back-up, on their own? Will Walmart provide emergency supplies of oxygen after a hurricane when the power's out?

What some don't understand is that getting the cheapest reimbursement for a medically required device for home use is not in the patient's or taxpayer's best interest. Quality home medical equipment and services help keep seniors and people with disabilities safe and independent in the most cost-effective setting for care -their own homes.

Medicare currently pays under $7 per day to provide oxygen therapy in the homes of people with lung disease or heart failure. Compare that to more than $7,000 on average that Medicare pays for a short hospital stay.

Bottom line: quality equipment and services provided to Medicare beneficiaries in their homes is part of the answer -not the problem -to Medicare's financial crisis.

This poorly designed Medicare bidding was implemented for two weeks in 2008. The program excluded 90 percent of local area providers, excluded qualified applications, and awarded contracts to unqualified providers with no experience in this area. Had the program continued, patient choice, access to care, and quality competition would have suffered.

Unfortunately , the flaws in this program remain. It's due to resume in Orlando and Miami in 2011. There is no way to predict the detrimental impact on Florida beneficiaries. A bipartisan bill to repeal Medicare bidding is supported by 255 members of Congress and designed to be budget neutral.

The bill would cut payments to home medical equipment to make up for the savings the bid program would have reaped -without dismantling the existing network of home medical providers.

Aaron C. Bates lives in Orlando.

Unsteady on your feet? Unable to walk for extended periods of time? A rollator may help...

We are contacted several times a day by patients looking for "a walker with the seat and the brakes". These walkers are referred to as rollators in the medical equipment industry. Here is a bit more general information about Rollators from rollator.org

There are various reasons why a person may need a rollator to assist them with mobilizing. A rollator is a device that supports a person who is walking. The rollator is pushed by its user while they are walking. The user keeps their hands on the rollator at all times while they walk so that they do not lose their support.

A wheelchair is a device for someone who cannot use their legs, while a rollator helps someone who can use their legs but needs support. People use a rollator for various reasons. Depending on the type of comfort a user seeks, if a person can walk, a rollator serves as a great device to assist them. Some people who have had strokes or other debilitating events happen to their bodies may use a rollator to assist them when walking. Not everyone who uses a rollator needs to have a handicap that prevents them from walking.

A rollator is also built in several different variations to accommodate the different users it may need to assist. A physician or a physical therapist will be able to recommend the appropriate type of rollator a patient may need to have in order to assist them properly.

Contact HMEprovider.com at 800-951-1213 to connect to a rollator specialist in your area.

The Uplift is Uplifting

For that extra oomph getting up, the Uplift Seat Assist converts any armchair into an automatic lifting chair — without latches, switches or special installation. Safely supports seated person with a stable, horizontal surface at all elevations — it won't thrust user forward! Waterproof, washable covers available! Click here to see how this item works or connect to a local dealer at 800-951-1213 or visit us at HMEprovider.com

What You Should Know about your Home Oxygen Therapy

What You Should Know about your Home Oxygen Therapy

Medicare's New Payment Policies for Care

HMEprovider.com is an online program that works to connect the aging in place and their loved ones with a LOCAL medical equipment provider to fullfill their needs. We have received several contacts as of late from consumers either wanting to change their current oxygen provider or are looking to move and need to locate a new provider. Consumers are running into several obsticles and therefore it seemed like a good time to share some patient education. Many of the challanges patients are facing are the result of Medicare's new regulations in relationship to oxygen services. Background The Deficit Reduction Act of 2005 capped reimbursement for Medicare home oxygen after 36 months of use. In many cases, the artificial cap prevents oxygen providers from receiving reimbursement for the entire period or your medical necessity to receive oxygen, which imposes financial hardship on homecare companies. Moreover, the policy of capping payment jeopardizes your access to continued care, as well as the quality of care that you deserve. On October 30, 2008, Medicare issued a final rule outlining its payment policy for oxygen therapy that is provided after 36 months. These onerous, confusing, and poorly conceived rules established minimal and inadequate payment levels, as well as unprecedented obligations that are impeding the provision of quality care to our patients. Under the Medicare rule, the original home oxygen provider must continue to provide, without any payment, for a two-year period following the reimbursement cap:

• Unscheduled service and maintenance visits,
• 24 hour, 7 day a week emergency care,
• Equipment repairs, and
• Oxygen supplies and accessories.

The rule also establishes inadequate payment levels for scheduled maintenance and service – equal to two 30-minute visits annually. Patients and providers have begun seeing the detrimental effects of the recently implemented Medicare oxygen rule. The following examples are occurring across the country for oxygen patients who are at or nearing the 36-month rental cap:

• A patient who would like to move out of the original provider's service area, but the provider cannot find a company in the new area that is willing to provide home oxygen therapy in the new location, due to the minimal payment levels.
• A hospital that is looking to discharge a patient to a different area of the country is unable to find an oxygen provider and therefore cannot discharge the patient, forcing the Medicare program to pay for additional time spent in the hospital.
• A patient who would like to switch providers cannot find another company willing to provide home oxygen therapy, due to minimal payment levels.
• A company is going out of business and patients cannot find new home oxygen providers, again, due to minimal payment levels.

As you know, home oxygen is a critical, life-sustaining medical treatment. It is prescribed to nearly 1.5 million Medicare patients annually who suffer from respiratory illnesses such as chronic obstructive pulmonary disease (COPD). COPD is a progressive, incurable disease that causes irreversible loss of lung function. Although medications have not been shown to be beneficial in reversing lung damage, home oxygen therapy, when properly prescribed and maintained, has been shown to slow the progress of this degenerative disease. A home oxygen company provide far more than just equipment. They are also front-line caregivers. They educate you on the proper use of their equipment, answer your questions, make repairs and adjustments, and ensure that you are receiving the prescribed amount of oxygen. Additionally, they are one of the primary points of contact for many of our patients. They take calls at all hours and drive long distances to make sure that patients receive the care they need. Without reimbursements for these visits, oxygen providers will not be able to afford to provide the current level of care for many of their patients. What you can do as a Medicare beneficiary Contact your members of Congress to tell them that they must restore reimbursement for oxygen for the period of medical necessity, regardless of the time frame. Be sure to contact your representative and both of your senators. To contact them, dial the U.S. Capitol Switchboard at 202-224-3121. If you are not sure who your representative and senators are, provide the operator with your ZIP Code. The operator will use your ZIP Code to connect you to your member of Congress. (Please note that in order to reach your representative and your senators, you will need to make a total of three calls: one to your representative and one each to both of your senators.) Congress should advise CMS to modify the existing post-36 month oxygen payment policies to address serious shortcomings that are creating hardships for both oxygen patients and providers. The HME community requests that Congress consider taking additional action if CMS is unresponsive in fixing the payment rules. Without immediate changes to the Medicare oxygen policies, patient care will be compromised and Medicare costs will increase.

Caregivers: Making the transition from hospital to home easier

(ARA) - Coming home from the hospital or other care setting after an illness or surgery can be worrisome for both patients and the friends and family members who care for them. Planning ahead can make the process much easier. The Centers for Medicare & Medicaid Services (CMS) has advice that is useful to the millions of Americans who are actively involved in caregiving. Through its caregiver initiative, Ask Medicare, CMS recommends the following steps to prepare for a transition: * Plan ahead: You can - and should - start thinking about the discharge process well in advance, even as early as at the time of admission. CMS has a helpful checklist of key points in its "Planning for Your Discharge" guide, available at the "Medicare Basics" link on the home page of the Ask Medicare website at http://www.medicare.gov/caregivers/. This checklist will help you prepare for the next steps in care.
* Get ready for new responsibilities: Talk to hospital staff about what you will need to do at home, who will show you how to properly carry out any new tasks you will be taking on, such as administering medication, using medical equipment, changing bandages or giving shots. * Make needed changes to your home: You might need to rearrange your home to have room for items such as a hospital bed, walker or a wheelchair. You might need to consider installing a ramp in place of stairs - be sure to ask the hospital staff what will be needed. You should also remove area rugs and other items that may cause falls and group electrical cords together with ties or clips to keep them clear of high-traffic areas.
* Prepare for extra costs: The person you are caring for may need new medical services or medicines after coming home. Medicare may cover some of these costs, but not all. You can learn about services and care that are covered by Medicare at the "Help With Billing" and "Is It Covered?" links at the Ask Medicare home page.
* Keep a list of key contacts: Put contact information for doctors, pharmacists, home care agency staff and others involved in the care process where you can easily find them. * Don't be afraid to ask for help: If you're overwhelmed, don't hesitate to ask a friend or family member to lend a hand. If paid home health services are needed, you can learn more about home health services in the "Medicare and Home Health Care" booklet, which is also accessible at the Ask Medicare home page. It's also important to keep a file of resources on hand and to bookmark useful web sites, including Ask Medicare, the United Hospital Fund's "Next Step in Care" initiative at http://www.nextstepincare.org/ and AARP's caregiving site at www.aarp.org/caregivers. More information can be accessed through http://www.healthcare.gov/, a new web portal offered by the Department of Health and Human Services. Courtesy of ARAcontent Unsure who in your area to contact with for your home medical and home modification needs? Contact HMEprovider.com 800-951-1213 We will connect you to an expert in your area that can help with your home medical equipment, oxygen therapy, wheelchair, ramp or safety equipment needs.

Multigeneration Households Are Growing

Before there was Social Security, welfare or other social safety nets, there was family. When times got hard or life went off the rails, people went home. Multigeneration Households Increased During the Recession Since the start of the recession in 2007, people have been turning to their families again, and in record numbers, according to a Pew Research Center study. In 2008, 49 million Americans (just over 16 percent of the population, including a rising number of seniors) lived in multi-generation households-2.6 million more than in 2007. But the recession didn't start the increase in multigeneration households, it only accelerated a trend that has been building steadily since 1980, when the number of Americans living in such family units hit an all-time low of about 12 percent. In 2008, about 20 percent of adults 65 and older were living in households with at least two generations under one roof. Some had moved in with children or other relatives to make a fixed income go farther or to have a family caretaker nearby, while others were raising their grandchildren. Yet the biggest factor in creating new multigeneration households was the number of young adults in the 25 to 34 age group that moved in with their parents or older relatives. The percentage of young adults ages 25 to 34 who were living in multigeneration households in 2008 was about the same as the percentage of people who were 65 and older. But the increase in young adults living in multigeneration households was dramatic (from 11 percent in 1980 to 20 percent in 2008) while the increase among older people was more gradual (from 17 percent in 1980 to 20 percent in 2008). The Sandwich Generation is Born Many baby boomers-the so-called sandwich generation -are caught in the middle as they struggle to provide shelter and support for aging parents and adult children who are not yet able to live on their own. And the economy is making it harder for many people, young and old, to remain independent-which drives the increase in multigeneration households. The Pew Research Center reports that roughly 37 percent of younger Americans (aged 18 to 29) were either unemployed or out of the work force in 2008, the highest percentage in 40 years. And a more recent Pew Research survey found that among 22- to 29-year-olds, one in eight say that the recession caused them to boomerang back to live with their parents after being on their own for awhile. Creating a Successful Multigeneration Household For even the most loving families, a multigeneration household can put a strain on communication, lifestyles, privacy and peace of mind. It's important to keep communication open and avoid misunderstandings. Take a tip from well-run businesses and schedule a family meeting once a week-or at least once a month. Decide how household tasks will be shared, look for ways to streamline meal planning and preparation, and household chores. And don't forget to have fun together. The poet Robert Frost said: "Home is the place where, when you have to go there, they have to take you in." In today's economically troubled times, it appears that more and more people are being forced to test that theory. Artcile by Sharon O'Brien About.com Guide

Why should you connect with a LOCAL CPAP expert for mask replacement?

• Having a properly fitted CPAP mask is essential in being able to get the maximum benefit from your CPAP therapy.

• Trained technicians are on staff at your local HME company who can show you a variety of mask options, and together, you can make a determination as to which style is best for you. A nasal mask, full face mask, or nasal pillow systems are all good options depending on your particular needs. New CPAP masks systems are being introduced to the marketplace on a regular basis.

• A properly fitted CPAP mask will provide you with comfort and an air- leak free system.

• Scheduled CPAP mask replacement is important in maintaining a bacteria and mold free system. Your HME dealer can recommend a cleaning and replacement program that fits your needs and can work with your insurance company.

Let HMEprovider.com connect you to a local CPAP therapy expert and help you get a better night's sleep.

Elegant Grab Bars?

As more and more people make the choice to age at home or recover at home after an accident or illness the medical industry responds. Did you know that you can install grab bars in your home to give you the safety and support you or a loved one needs yes still maintain the décor? There is a vast selection of grab bars in various sizes and finishes that are actually pretty elegant looking. Let us connect you with a certified provider to review the selection and make arrangements to install your new grab bars today. Call HMEprovider.com 800-951-1213

Rental Portable Oxygen

Looking for more freedom in your oxygen therapy while flying or traveling. If you require supplimental oxygen, a portable oxygen concentrator may be just what you're looking for. These units are available on a rental basis for that upcoming vacation and are available with battery packs.

Help in locating rental equipment

You've finally talked your parents into a visit, you've coordinated schedules and made the travel arrangements. Now, you begin the struggle of locating the equipment you'll need to make your home as assessable and comfortable as possible while an aging parent or loved one comes to stay. HMEprovider.com is a nationwide network of local medical equipment providers. We will work with our network to locate a provider in your area for that rental hospital bed, wheelchair, ramp or oxygen device you've been searching for.

With just a quick visit to our site http://www.hmeprovider.com/ or a phone call to 800-951-1213 we can begin the work for you. We can also connect you to providers of non-permant safety equipment like suction grab bars or bath lifts.

Taking care of others starts with taking care of yourself

When taking care of an aging parent it's important to remember to take care of yourself It may seem like heresy to do things for yourself when your parent needs help, but it's a crucial part of the job. The fact is, you'll be of little use to your parent if you are exhausted, resentful, depressed or sick — and all too many caregivers are exactly that. Define the job. As much as you may want to, you cannot do it all. So decide what you are willing to do. Then make a list and stick with it. Don't keep trying to do more. Accept help. This is a big job and most of us cannot do it without loads of helpers. Sign up for community services (meal delivery, homemaker programs, adult daycare, in-home health care, etc.). Recruit other relatives to help and see if neighbors or your parent's friends might take on some small tasks. Take breaks. If your parent's care consumes a significant chunk of your life, get away from the task occasionally. Find someone who can step in for you or see if there aren't respite services in your parent's community. Go out for dinner with a mate, have a bath, or take a vacation. Do something else, think about something else. Your parent will survive and you will be a better caregiver. Spend time with friends. Studies show that caregivers who have social supports (friends, family, support groups) experience less depression and illness. Coffee with a pal may feel like a luxury, but it's a necessity. Laugh. Laughter makes the world more sane (or at least it makes the insanity more fun). And scientists have shown that it actually improves one's immune system and circulation, not to mention one's outlook on life and ability to cope with the impossible. No comparisons, please. Don't listen to other's opinions of what you're doing and never compare yourself to other caregivers. Every situation is different. You may have a more stressful relationship with your parent, fewer supports, a more demanding job, or just different priorities and makeup. Trust in yourself to find the balance that is right for you. Source: How To Care for Aging Parents The complete Guide

Rollator- offering patient support and mobility freedom

There are various reasons why a person may need a rollator to assist them with mobilizing. A rollator is a device that supports a person who is walking. The rollator is pushed by its user while they are walking. The user keeps their hands on the rollator at all times while they walk so that they do not lose their support.

A wheelchair is a device for someone who cannot use their legs, while a rollator helps someone who can use their legs but needs support. People use a rollator for various reasons. Depending on the type of comfort a user seeks, if a person can walk, a rollator serves as a great device to assist them. Some people who have had strokes or other debilitating events happen to their bodies may find a rollator offers the support they need to assit them while walking. Not everyone who uses a rollator needs to have a handicap that prevents them from walking.

A rollator is also built in several different variations to accommodate the different users it may need to assist. Visit HMEprovider.com or contact us at 800-951-1213 to help get connected with a knowledgable equipment provider in your local area.

Souce: rolator.org

Fraud Target: Senior Citizens

Why should Senior Citizens be concerned? It has been the experience of the FBI that the elderly are targeted for fraud for several reasons:

1) Older American citizens are most likely to have a "nest egg," own their home and/or have excellent credit all of which the con-man will try to tap into. The fraudster will focus his/her efforts on the segment of the population most likely to be in a financial position to buy something. 2) Individuals who grew up in the 1930s, 1940s, and 1950s were generally raised to be polite and trusting. Two very important and positive personality traits, except when it comes to dealing with a con-man. The con-man will exploit these traits knowing that it is difficult or impossible for these individuals to say "no" or just hang up the phone. 3) Older Americans are less likely to report a fraud because they don't know who to report it to, are too ashamed at having been scammed, or do not know they have been scammed. In some cases, an elderly victim may not report the crime because he or she is concerned that relatives may come to the conclusion that the victim no longer has the mental capacity to take care of his or her own financial affairs. 4) When an elderly victim does report the crime, they often make poor witnesses. The con-man knows the effects of age on memory and he/she is counting on the fact that the elderly victim will not be able to supply enough detailed information to investigators such as: How many times did the fraudster call? What time of day did he/she call? Did he provide a call back number or address? Was it always the same person? Did you meet in person? What did the fraudster look like? Did he/she have any recognizable accent? Where did you send the money? What did you receive if anything and how was it delivered? What promises were made and when? Did you keep any notes of your conversations? The victims' realization that they have been victimized may take weeks or, more likely, months after contact with the con-man. This extended time frame will test the memory of almost anyone. 5) Lastly, when it comes to products that promise increased cognitive function, virility, physical conditioning, anti-cancer properties and so on, older Americans make up the segment of the population most concerned about these issues. In a country where new cures and vaccinations for old diseases have given every American hope for a long and fruitful life, it is not so unbelievable that the products offered by these con-men can do what they say they can do.

What to Look For and How to Protect Yourself and Your Family--

Health Insurance Frauds:

Medical Equipment Fraud:

Equipment manufacturers offer "free" products to individuals. Insurers are then charged for products that were not needed and/or may not have been delivered.

"Rolling Lab" Schemes:

Unnecessary and sometimes fake tests are given to individuals at health clubs, retirement homes, or shopping malls and billed to insurance companies or Medicare.

Services Not Performed:

Customers or providers bill insurers for services never rendered by changing bills or submitting fake ones.

Medicare Fraud:

Medicare fraud can take the form of any of the health insurance frauds described above. Senior citizens are frequent targets of Medicare schemes, especially by medical equipment manufacturers who offer seniors free medical products in exchange for their Medicare numbers. Because a physician has to sign a form certifying that equipment or testing is needed before Medicare pays for it, con-artists fake signatures or bribe corrupt doctors to sign the forms. Once a signature is in place, the manufacturers bill Medicare for merchandise or service that was not needed or was not ordered.

Some Tips to Avoiding Health Insurance Frauds

• Never sign blank insurance claim forms.
  
• Never give blanket authorization to a medical provider to bill for services rendered.
  
• Ask your medical providers what they will charge and what you will be expected to pay out-of-pocket.
  
• Carefully review your insurer's explanation of the benefits statement. Call your insurer and provider if you have questions.
  
• Do not do business with door-to-door or telephone salespeople who tell you that services of medical equipment are free.
  
• Give your insurance/Medicare identification only to those who have provided you with medical services.
  
• Keep accurate records of all health care appointments.
  
• Know if your physician ordered equipment for you
  

Source: Federal Bureau of Investigation www.fbi.gov

EverGo Portable Oxygen Concentrator- Frequently Asked Consumer Questions

What is a "POC"? Is this type of oxygen therapy right for me? How can I fly given my current oxygen needs? Consumers most frequently asked questions brought to you by Respironics, the makers of the EverGo Portable Oxygen Concentrator. How does the EverGo portable concentrator work (produce oxygen)? The Respironics EverGo portable concentrator separates oxygen from room air and delivers it through a single lumen cannula. Room air contains approximately 21 percent oxygen and 79 percent nitrogen. By passing the air through a series of molecular, bacterial and dust filters, EverGo removes nitrogen and stores nearly pure (therapeutic) oxygen. Is the EverGo portable concentrator right for me? Only you and your doctor can determine if EverGo is the right oxygen concentrator for you. If you are active and require a highly portable source of oxygen, EverGo is ideal. What does the EverGo portable oxygen concentrator weigh? 9.9 lbs (4.5 kg) with 2 batteries and carrying case 8.5 lbs (3.8 kg) with 1 battery and carrying case How long can EverGo operate on battery power? Its two rechargeable batteries provide up to 8 hours of oxygen while operating at a typical patient setting of two (20 breaths per minute). See the chart below.

Flow Setting	Rate of 20 BPM
1	12 hours
2	8 hours
3	6 hours
4	4 hours
5	4 hours
6	4 hours

What is EverGo's oxygen producing capability? EverGo can deliver a maximum of 1050 ml/min. That is more oxygen per minute than any other portable concentrator available. What size is EverGo? It is about the size of a camera bag or small carry-on bag. 12" L x 6" W x 8.5" H (30.5 cm L x 15.25 cm W x 21.6 cm H) Can I use the EverGo while I sleep? Your doctor can determine whether or not the EverGo portable concentrator is appropriate for you while you sleep. An overnight pulse oximetry test may be necessary to measure your oxygen saturation level while using EverGo at night. Can I use the EverGo portable concentrator when I travel? EverGo is ideal for people who enjoy traveling and rely upon oxygen therapy. EverGo operates from a wall outlet (AC power), an automobile charger (DC power), or its internal rechargeable batteries, two lithium ion batteries similar to the type used in laptop computers. The device has been cleared for air travel by the FAA. Because airline policies for traveling with an oxygen concentrator vary, you need to check with your airline before flying with EverGo. Which airlines permit the use of the EverGo portable oxygen concentrator? The list of commercial air carriers allowing the use of EverGo during flight is growing monthly. Check the current list of carriers that have cleared EverGo for air travel.

Reclaim your home

Harmar Access Stairway Lifts transform unfriendly multi-story houses into easily accessible homes. Models available for every budget make staying in your home a safe and simple reality. Harmar Access Stairway Lifts are the perfect solution to reliably and effortlessly traverse your staircase in complete comfort.   If you've considered adding a stair lift to your home now is the time! Let HMEprovider.com connect you to a local provider.

If you worry that physical limitations will prevent you from caring for a loved one in your home, don't give up! A care facility is NOT the only answer. There are many different patient lifts available to accomidate all levels of need.

The EASYmove Seated Support Aid by BHM is one such patient lift. EASYmove allows individuals a greater level of independence in there own home while reducing caregiver's strain.In today's homecare settings the need to assist your loved one to move around the house or to the toilet is something you may be called upon to do regularly. The hazards associated with performing a manually assisted transfer can be avoided through the use of the BHM Medical EASYmove. The EASYmove is a seated support aid solution for a patient who has the ability to stand, but requires some assistance to move around the home. It offers the benefits of active participation in the transfer as well as providing a level of independence.EASYmove allows individuals a greater level of independence in there own home while reducing caregiver's strain.In today's homecare settings the need to assist your loved one to move around the house or to the toilet is something you may be called upon to do regularly. The hazards associated with performing a manually assisted transfer can be avoided through the use of the BHM Medical EASYmove. The EASYmove is a seated support aid solution for a patient who has the ability to stand, but requires some assistance to move around the home. It offers the benefits of active participation in the transfer as well as providing a level of independence.

To learn more about how you can be connected to a local patient lift dealer go to HMEprovider.com today or call us at 800-951-1213.

Respiratory Review - Eating Right: Tips for the COPD patient

For people suffering with a lung disease such as chronic obstructive pulmonary disease, eating should not be taken for granted.

According to the American Association for Respiratory Care, a well-nourished body helps fight off infections and may help prevent illness, thus cutting down on hospitalizations.

A proper diet will not cure your disease, but it will make you feel better. You will have more energy, and your body will be able to fight infection better. Good nutrition and a balanced diet are essential to everyone's health, but patients with lung disease must be even more careful than most about following good nutrition guidelines.

Food is fuel and the body needs fuel for activities, including breathing. Because the COPD uses a lot of energy just breathing, ventilatory muscles can require up to ten times the calories required by a healthy person's muscles. This is why it is so important for someone with COPD to eat properly. Good nutritional support helps maintain the ventilatory functions of the lungs, while lack of proper nutrition can cause wasting of the diaphragm and other pulmonary muscles.

The American Association for Respiratory Care offers nutrition tips for persons with COPD. These are general guidelines only. Your doctor is your best source of information on diet and other information about your lung disease.

•Select foods from each of the basic food groups to include fruits & vegetables, dairy products, cereal & grains, and proteins.

•Limit salt intake. Too much sodium can cause fluid retention that could interfere with breathing.

•Limit drinks that contain Caffeine. Caffeine might interfere with some of your medications and may cause nervousness.

•Avoid gas-producing foods that make you feel bloated.

•Eat your main meal early to provide lots of energy to carry you through the day.

•Choose easy preparation foods. Rest before eating so that you can enjoy your meal.

•Avoid foods that provide little or no nutritional value.

•Try eating six smaller meals a day instead of three big ones. This will keep you from filling up your stomach and causing shortness of breath.

•Eating and digestion require energy, and this causes your body to use more oxygen. Be sure to wear your cannula while eating - and after meals, too.

•Eat in a relaxed atmosphere. Try making meals attractive and enjoyable.

If meal preparation becomes a burden, there are agencies in many states that will provide meals for people for a small fee or at no charge. Seek local church organizations or government agencies to see what is available in your area.

Source: American Association for Respiratory Care www.aarc.org

Have you seen the new CPAP from Respironics?

The new Philips RespironicsSYSTEM ONE REMstar Auto brings a wide array of proven technologies together with patient focused enhancements such as advanced humidity controls, mask optimization, and event detection/response which results in a truly intelligent sleep therapy system. The System One REMstar Auto is an Auto CPAP that adjusts therapy levels while the patient sleeps to ensure they are receiving optimum air pressure for a comfortable, successful sleep experience. It includes a wide pr essure range, adjustable ramp, auto altitude adjustment, SD data card, the latest "flex" comfort technologies, a universal power supply, and more. For help getting connected to a local Respironics CPAP distributor contact HMEprovider.com or call us at 800-951-1213.

Do you need help locating a rental wheelchair?

HMEprovider.com has a network of local, community based providers that offer a wide variety of wheelchair rental options. Whether you're looking to rent a wheelchair for recovery from an injury or you are looking to aid in the transport of a loved one for a short term need like a vacation, the HMEprovider network can help. Most medical equipment companies carry a full line of rental chairs from light weight to heavy duty chairs. A short evaluation with a medical equipment provider can help you best determine the chairs that is appropriate for your needs. To be connected to a medical equipment provider in your area for a rental wheelchair or another medical equipment need, visit us at www.hmeprovider.com

What is a lift chair all about?

Med-Lift 35 Series Lift Chair

A lift chair is a device that gradually lifts the person to a standing position or gradually descends the person into a sitting position without causing any injuries. It has the look and feel of a normal recliner which makes it very comfortable for most consumers. The look and design of today's lift chair also allows it to fit in with the rest of the furniture easily without looking out of place. Chairs are available in many different sizes and you can have custom designs by picking out fabrics and colors. Many lift chairs come with additional custom options like heat and vibration. Many elderly and those who suffer from arthritis or limited mobility find lift chairs to be the answer. Lift chairs come in many styles and sizes. Being properly fitted is very important for safety. So what should one consider before purchasing a lift chair? Review the 7 key components listed below as shared by Disabled-World.com 1) One size does not fit all. Each lift chair is made for certain height and weight capacities. A Medicare Approved Provider is trained in fitting each client accurately. 2) Find a local lift chair showroom and try the chairs out. No one would purchase a regular recliner without trying it out first. 3) Lift chairs that are well made usually have a good warranty. Ask about the warranty on each chair and how the chairs are serviced. A big furniture or discount store may not even know the answer to this very important question. 4) Determine the best lift chair for the particular need. Many chairs lay down in a full sleeper position. Zero gravity positions offer many benefits such as back relief, improved circulation, and expanded lung capacity. Also, many chairs are the standard 2 and 3 way positions. 5) Feet should be on the floor when the lift chair is in a seated position. When the chair is rising, feet should not be dangling! 6) Consider the space that the lift chair will fill. Is it small? How far from the wall does it need to be? Is there room to walk past the chair if it is reclined? 7) Make sure there are many fabric options available. Look for regular upholstery, vinyl, leather, microfiber,or new scrubbable fabrics. Many lift chairs are more stylish than ever before. Look for plush Big Man chairs or sleek wing backs. There is virtually no limit in style and comfort in today's lift chairs. There are chairs in every shape and size for consumers of every shape and size! Remember, some insurance companies and Medicare plans reimburse for components of a lift chair based on certain medical criteria. A medical equipment dealer can help you determine if you'd quality. To be connected to a medical equipment dealer in your area, visit us at http://www.hmeprovider.com/ or call 800-951-1213

Taking a bath CAN be relaxing

Reclaim your bathtub!

The bathtub is supposed to be a relaxing place, but due to physical limitations it's become more of an unsurmountable task. It doesn't have to be!! Check out this AquaJoy Bathlift from Harmar. This bathlift makes getting in and out of the tub a breeze, it's realatively inexpensive and best of all, NO installation is required! You don't need to alter the integrity of your shower and you can move it from bathroom to bathroom! Learn More: The Harmar AquaJoy Premier PLUS is a two-piece battery operated bath lift that can be electronically reclined or stopped at the preferred sitting position. The AquaJoy Premier PLUS is easy to put together and take apart, ensuring ease of use and transportation. With easy release, counter balanced suction feet, the bath lift can be removed from the bath with ease. The fully waterproof floating hand control contains a light weight battery and has large operating buttons as well as an indicator light and an easy to use and simple to understand charger. The 375 lb. weight limit also ensures the bath lift will be suitable for heavier clients. The standard, washable and easily removed covers are padded and comfortable to sit on. Optional Gel Filled Covers which provide extra padding are available for low weight or pressure care clients and offer an alternative solution with more specific needs.

Watch the short clip below to see the bathlift in action!! If you'd like to be connected with a bathlift provider in your area, visit us at www.hmeprovider.com or call us at 800-915-1213