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Industry Matters - Powered by VGMAuthor: VGM & Associates
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. Language: en Genres: Business, Health & Fitness, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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What to Do When Payer Networks Are Closed | HME Contracting Strategies
Monday, 7 July, 2025
In this episode, Craig Douglas, SVP of HME, Respiratory, & Wellness at VGM, is joined by Melanie Ewald, VP of Payer Relations and Reimbursement, and Kim Cuce', Director of Business Optimization, to tackle one of the biggest challenges in the HME industry: closed payer networks. They share practical strategies for navigating out-of-network situations, working with third-party administrators, and pursuing single case agreements, while emphasizing the importance of clear patient communication, understanding reimbursement, and knowing, understanding, and keeping copies of your contracts.
