A podcast that delivers business solutions, best practices, government updates, reimbursement advice and more to home medical equipment, complex rehab, home accessibility, mastectomy and women's health providers, as well as orthotics and prosthetics practitioners.
OIG Recommends 'High/Low Reward' Strategy on Intermittent Catheters
In this episode of Industry Matters, Alan Morris, Director of Research and Strategy for VGM Government Relations, and John Gallagher, VP of VGM Government Relations, talk with Brian Leitten from Leitten Consulting, about a new study, "OIG Recommends 'High Risk/Low Reward' Strategy on Intermittent Catheters." The study looks at concerns and costs associated with reducing access to urinary catheters.
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30:34 | 1/23/23 | |
Podcast Series Pt. 3: Billing Claims, HCPCS Codes, and Modifiers
In today’s episode, Ronda Buhrmester, Sr. Director of Payer Relations and Reimbursement for VGM Government Relations, and Mandi Joyner, Sr. Director of Marketing, finish up their three-part series. In this final episode, they talk about billing the claim, HCPC Codes, modifiers, and avoiding some audits.
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32:50 | 1/3/23 | |
Podcast Series Pt.2: Medical Records, Delivery, and Ongoing Need
In today’s episode, Ronda Buhrmester, Sr. Director of Payer Relations and Reimbursement for VGM Government Relations, and Mandi Joyner, Sr. Director of Marketing, continue their three-part series. In this second episode, they talk about medical records, delivery, and ongoing need, including drop-shipping and remote setups.
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31:05 | 1/3/23 | |
Podcast Series Pt.1: What You Need to Know About Intake, Prescriptions, and Orders
In today’s episode, Ronda Buhrmester, Sr. Director of Payer Relations and Reimbursement for VGM Government Relations, and Mandi Joyner, Sr. Director of Marketing, kick off a three-part series. In this first episode, they talk about the intake process and ordering and how to help make this process as smooth as possible.
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32:12 | 12/20/22 | |
Important Supplier Enrollment Updates - Changes to Contract!
In today’s MUST listen to the episode, Mandi Joyner, Senior Director of Marketing, talks with Ronda Buhrmester, Senior Director of Payer Relations and Reimbursement for VGM Government Relations, and Kelly Grahovac, General Manager for the van Halem Group, about how the Mississippi River is playing a role in the changes to the DMEPOS provider enrollment and what, if anything, you need to be doing. Helpful Links:Medicare revalidation list: https://data.cms.gov/tools/medicare-revalidation-listNPE West: https://palmettogba.com/palmetto/npewest.nsfNPE East: https://www.novitas-solutions.com/webcenter/portal/DMEPOSSite visit checklist: https://www.palmettogba.com/palmetto/nsc.nsf/DIDC/AFQLMT4106~Supplier%20Enrollment~Standards%20and%20Compliance
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28:38 | 11/21/22 | |
Setting the Record Straight, Reverse Mortgages CAN Fund Home Accessibility Projects!
In today’s episode, Jim Greatorex, VP of VGM’s Live at Home talks with Gabrielle Welter, Strategic Business Development Manager at AAG. They talk about how people can use reverse mortgages as funding resources for home accessibility projects.
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27:28 | 10/24/22 | |
Solutions for Improving Efficiency and Innovation in Your Therapy Business
In today’s episode of Industry Matters, Miranda Murphy, with VGM Therapy speaks with Greg Guinter, the Director of Therapy and Rehab Sales for Medline. They talk about the changing landscape of healthcare, the challenges healthcare systems are facing as they relate to physical therapy, occupational therapy, and speech therapy service providers, and the evolution of innovation and technology in the therapy space. They will be discussing ways to help you find solutions.
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21:43 | 10/12/22 | |
Lily Has Bloomed: An Introduction to the Mother-Baby Program
In today’s episode of Industry Matters, Mandi Joyner, Senior Director of Marketing for VGM & Associates, talks with Nikki Jensen, VP of Essentially Women, the women’s health division here at VGM. They are talking about the launch of the new Lily Program.
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21:25 | 9/27/22 | |
A Chat With Ronda Buhrmester About Important Reimbursement Updates and Getting Paid Faster
In today’s episode of Industry Matters VGM & Associates' Mandi Joyner, Senior Director of Marketing and Communications, talks with VGM’s Ronda Buhrmester, Senior Director of Payer Relations and Reimbursement about CMNs, LCDs, CPAP Policy changes, National Coverage Determination...in short, helping you understand how to get paid faster and keep your money. Ronda, thank you so much for being here today, please introduce yourself.
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26:27 | 8/29/22 | |
Optimizing Inventory with Trace Medical
In today’s episode of Industry Matters Boone Lockard, Director of VGM Respiratory talks with Chief Commercial Officer for Trace Medical, Elliot Campbell about Trace Medical’s history and growth to the ventilator rental company in the U.S., how they navigated COVID-19, and why you should be looking to Trace Medical to help optimize inventory, take advantage of asset flexibility, and increase EBIDTA margins.
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13:46 | 8/22/22 | |
More Categories Added in Building a Case for Medicare and Medicaid Investment
In this episode of Industry Matters, John Gallagher, VP of Government Relations and Mark Higley, VP of Regulatory Affairs for VGM & Associates talk with Brian Leitten, CEO of Leitten Consulting about a recent study looking at three additional categories for building a case for additional Medicare and Medicaid investment. Read the Full StudyVisit VGMGOV.com
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28:12 | 8/1/22 | |
Growing Opportunities in Long-Term and Post-Acute Care
In this episode of Industry Matters Barry Thwaits, VP of Business Development for VGM & Associates talks with Adam Clark, Business Development Consultant for Post-Acute Care at Philips about long-term and post-acute care opportunities for providers. They analyze the business opportunity, reimbursement, and the resources needed to get into this growing market.
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30:09 | 5/31/22 | |
Women Leaders in O&P: Episode 3 - A Talk With Kelly Gies
In this episode of Industry Matters we continue our series for our OPGA community. In this edition of “Women Leaders in O&P,” Ashlie White, OPGA’s O&P 2021 Woman of the Year and Director of Health policy and Strategic Alliances for AOPA, talks with Kelly Gies, COO and Partner of Cornerstone Prosthetics and Orthotics. They discuss the importance of data and analytics, cost indexing, insurance contracts and if they are helping your business be profitable, and much more.
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18:40 | 5/31/22 | |
The Importance of the Limb Loss and Preservation Registry
In this episode of Industry Matters, OPGA president, Todd Eagen, talks with Dr. Kenton Kauffman of the Mayo Clinic about the Limb Loss and Preservation Registry. They discuss the importance of the outcomes program in providing evidence based care in the O&P profession.
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16:34 | 5/10/22 | |
Everything You Need to Know About Heartland Conference 2022
In today’s episode of Industry Matters we are talking about the upcoming Heartland Conference which is quickly approaching! June 13-15 VGM will hold its annual premier educational conference. And that is right here in our hometown of Waterloo, Iowa. Joining me to talk about Heartland Conference are Committee Chair, Jill Blaser and Education Pillar, Kayla Mahler.
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18:17 | 4/20/22 | |
A Closer Look at Succession Planning with Mark Higley
In this episode of Industry Matters Mandi Joyner, Director of Marketing Strategy and Communications for VGM & Associates, talks with Mark Higley, VP of Regulatory Affairs for VGM Government about succession planning. Mark recently wrote a guide, “Succession Planning: Identifying What is Next for Your Business and How to Make it Happen,” to help members plan for the future. This podcast has common mistakes made, how to avoid to them, and best practices.Click HERE for the Succession Planning Guide Mark Higley Cell Phone: 319.504.9515
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30:17 | 3/30/22 | |
Women Leaders in O&P: Episode 2 - A talk with Lesleigh Sisson
On today’s episode of Industry Matters we continue our series for our OPGA community. In this edition of “Women Leaders in O&P,” Ashlie White, OPGA’s O&P 2021 Woman of the Year and Director of Health policy and Strategic Alliances for AOPA, talks with Lesleigh Sisson, owner of O&P Insight. They discuss the importance of thorough and timely documentation to ensure proper reimbursement, challenges with same and similar devices, tips for your business, and much more.
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16:20 | 2/28/22 | |
A Review of 'Lists' and What you Need to Know About Codes for Reimbursement
In this episode of Industry Matters, Senior Director of Payer Relations for VGM Government, Ronda Buhrmester, and Dan Fedor, Director of Reimbursement and Education for U.S. Rehab, talk about lists - the master list, prior authorization, face to face, and written order prior to delivery. They cover the differences between the lists, recent changes with codes being added and removed from lists, the timing of additional changes, and what all of these updates mean for your business. Standard Documentation Requirement Policy https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55426 MLN SE 20007https://www.cms.gov/files/document/se20007.pdf UPCOMING WEBINAR Whaaaaat - CMS Announces the Codes on the Master List, Required List, and Those March 24, 2022 1:00 PM Central https://attendee.gotowebinar.com/register/795866519440662799?source=podcast
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23:49 | 2/14/22 | |
New Series: Women Leaders in O&P
We are very excited to be launching a new podcast series on Industry Matters for our OPGA community, “Women Leaders in O&P.” In this series, Ashlie White, OPGA’s O&P 2021 Woman of the Year and Director of Health policy and Strategic Alliances for AOPA, interviews other women leaders in the orthotics and prosthetics profession. In this first episode, Ashlie talks with Nikki Grace-Strader, the incoming fellow for NAAOP.
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24:49 | 2/4/22 | |
Combating Cost of Doing Business Increases, Stale Reimbursement, and Workforce Shortages
In this episode of Industry Matters, VP of Payer Relations for VGM Government Relations, Craig Douglas, talks with Market Sales Director for VGM Vendor Partner, Medline, Sal Grillo, about the impact from supply chain challenges, rising costs and stagnant reimbursement rates, shipping delays, workforce shortages, and how Medline is working to combat these issues.
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26:32 | 1/31/22 | |
Oxygen Talk with Ronda Buhrmester - All things NCD Memos and PHE Waivers
In this episode, Mandi Joyner, Director of Marketing and Communications at VGM & Associates talks with Ronda Buhrmester, Senior Director of Payer Relations and Reimbursement at VGM Government Relations about the changes coming to the oxygen equipment medical policy and how the renewed PHE continues to impact waivers. * Note: Since this recording, the PHE was renewed on January 14, 2022 for an additional 90 days. More information is available here. Additional Resources[Webinar] Live Chat with Ronda - Reviewing the PHE WaiversPublished in Billing & Reimbursement on January 20, 2022Click here to view the recording. [Webinar] New Oxygen NCD - Let's Discuss What This Means!Published in Respiratory on October 01, 2021Click here to view the handout.Click here to view the recording.Vlog: New Oxygen NCDVlog: Update to Prior Auth List and F2F/WOPD RequirementsNCA - Home Use of Oxygen and Home OxygenNew Oxygen Decision Memo for NDC
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24:42 | 1/19/22 | |
A Deep Dive into the “Competitive Bidding - A Decade Focused on the Wrong Prize the Case for Medicare Investment in DME in 2021” Study
In today’s episode of Industry Matters we talk with Brian Leitten, CEO of Leitten Consulting, John Gallagher, VP VGM Government Relations, and Mark Higley, VP VGM Regulatory Affairs about an updated study, “Competitive Bidding - A Decade Focused on the Wrong Prize the Case for Medicare Investment in DME in 2021.” This study looks at how investing in DME instead of trying to control distribution, specifically in regard to Chronic Obstructive Pulmonary Disease (COPD), Obstructive Sleep Apnea (OSA), and falls, could save the government billions of dollars, as well as allow for more providers and greater care of beneficiaries. The study can be found here: https://www.vgmdclink.com/uploads/Document-Library/61cb718f762181b1af06911ee8dfef04.pdf
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34:18 | 1/3/22 | |
The Vital Role Nutrition Plays in Wound Healing
In today’s episode of Industry Matters, Heather Trumm, director of VGM Wound Care, talks with Dr. Nancy Collins, a Registered Dietician about the role nutrition plays in wound healing. Listen as they discuss how important protein and vitamin C and D are in the healing process, what other foods and supplements need to be considered, overcoming objections to nutrition in wound healing, and advice for patients dealing with hard to heal wounds. https://drnancycollins.com/ https://www.vgm.com/communities/hme/wound-care/
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27:32 | 11/30/21 | |
Add Group 3 Fluidized Therapy Beds to Increase Revenue
In today’s episode of Industry Matters, Heather Trumm, director of VGM Wound Care, talks with Howie Morrison, owner of Aurora Manufacturing about increasing your revenue stream by adding Group 3 Fluidized Therapy Beds to your offerings, referral sources, and what dealers need to know if they are interested in this category. Contact Information:howiemorrison@aol.com 704-490-0691 http://auroramfg.com/ Heather.trumm@vgm.com
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27:54 | 10/26/21 | |
An Open Discussion About Opportunities in the Diabetic Market, CGM Audits, and Reimbursements
In this episode of Industry Matters, Mandi Joyner, director of marketing and communications for VGM & Associates, talks with president of the Van Halem Group Wayne van Halem and sales manager for GEMCO, Joseph Ault about CGM audits, qualifications for reimbursement and documentation, as well as the opportunities in the diabetic market.
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17:23 | 10/19/21 | |
Essentially Women Talks with American Breast Care about Custom Breast Prothesis, Product Development, and Branding
In today’s episode, VP of Essentially Women, Nikki Jensen talks with Jolly Rechenberg, partner, chairmen, and co-CEO of American Breast Care (ABC) about the start of ABC, the importance of communication and feedback in the product development process, custom breast prothesis, and why the rose is much more than just a logo to American Breast Care.
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22:34 | 10/5/21 | |
The Tipping Point of Respiratory Outcomes in the Home
In today’s episode, VP of Sales for VGM & Associates, Dave Lyman talks with CEO of Encore Health Care, Zach Gantt about the importance of respiratory outcomes in the DME world and how Encore can help manage patients, not devices. They also talk about building out individual care plans, managing populations of patients, and partnering with hospitals. www.encorehc.com
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18:43 | 8/31/21 | |
A New Infant Monitoring Program and Technology
In today’s episode, VGM and Associate's VP of Sales, Dave Lyman, talks with Founder and CEO of Circadiance, David Groll, about a new infant monitoring technology and program. They also discuss why all DMEs should be providing infant monitoring. www.circadiance.com
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14:51 | 8/26/21 | |
All Things VGM Heartland 2021
In this episode of Industry Matters Mandi Joyner, director of marketing and communications for VGM & Associates, talks with two members of the Heartland Conference planning committee, Sarah Conger and Jill Blaser about all things Heartland! Listen to find out what new is coming to Heartland, how the committee is keeping attendees, vendor partners, and employee owners safe amidst COVID-19, educational opportunities, and this year's farewell event!
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17:28 | 8/11/21 | |
The Summer of 2021: Growth Amid Volatility in the Home Accessibility Market
In this episode of Industry Matters, VP of VGM Live at Home, Jim Greatorex, talks with Darren Corcoran with Vets Access and Steve Dawson of Harmar about the challenges overcome in 2020 and the opportunities in 2021 for the home accessibility market. Tune in to find out about Supply chain constraints, shipping damages, and the forecast for the rest of this year.
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31:59 | 7/9/21 |