Editor's Note
The window for public comments on CMS’s proposed power seat elevation NCD ends March 17. There are several resources you can use to help support the effort.
- By David Kopf
- Mar 09, 2023
An LCD update and policy article make the expanded coverage for continuous glucose monitors effective before the end of the Covid-19 PHE.
- By David Kopf
- Mar 02, 2023
Podcast
In a job market with high turnover, how can providers attract and retain the best talent for the job—and maybe add some new strengths in the process?
- By David Kopf
- Feb 27, 2023
The association is measuring lawmakers’ and regulators’ interest in e-prescription and plans to discuss the topic on an upcoming call with CMS.
- By David Kopf
- Feb 23, 2023
Proposed NCD would expand coverage for power seat elevation on certain power wheelchairs to Medicare beneficiaries for the first time.
- By David Kopf
- Feb 16, 2023
The settlement involved claims that hinged on a set of Medicaid billing regulations that the company believed it had interpreted correctly.
- By David Kopf
- Feb 09, 2023
The DOJ reports that 2022’s False Claims Acts settlements included claims for DME, drugs, home health, managed care, hospitals and physicians.
- By David Kopf
- Feb 09, 2023
The eight recommendations are designed to be incorporated into contracts between health plans and home and alternate site infusion providers.
- By David Kopf
- Feb 09, 2023
Those involved acquired patient referrals and signed doctors’ orders by paying kickbacks to marketers who used overseas call centers to solicit Medicare beneficiaries for unneeded DME.
- By David Kopf
- Feb 09, 2023
Biden Administration announces an end to the public health emergency that goes beyond its current April 11 cut-off.
- By David Kopf
- Feb 02, 2023
A pair of legislative efforts would raise Medicaid reimbursements in the state and authorize Medicaid coverage of CRT wheelchairs for patients living in nursing facilities.
- By David Kopf
- Jan 26, 2023
An ALJ has overturned all disputed claims from a 2021 HHS OIG report, and Medicare Administrative Contractors have returned 100 percent of the recouped funds to the provider.
- By David Kopf
- Jan 26, 2023
A total of $136 Billion in TRICARE Managed Care Support Contracts will be split between two major health contractors.
- By David Kopf
- Jan 19, 2023
Industry Roundtable
Experts discuss key trends, challenges and opportunities that will impact HME providers and how those businesses can respond to them.
- By David Kopf
- Jan 12, 2023
The association’s Federal policy agenda includes further extending the 75/25 blended rates, advancing the 90/10 blended rates in CBAs, and more.
- By David Kopf
- Jan 12, 2023
Podcast
CMS has intensified its scrutiny of Medicare Advantage health plans, and in turn those plans are auditing HME businesses. How should providers respond?
- By David Kopf
- Jan 12, 2023
The public health emergency’s reimbursement and regulatory policies impacting HME providers will continue until April 12.
- By David Kopf
- Jan 12, 2023
DOJ apprehends a New York woman for allegedly offering and paying illegal health care kickbacks for false orthotic braces and continuous glucose monitors claims, as well as money laundering.
- By David Kopf
- Jan 05, 2023
The year-end bill to fund the government includes key HME reimbursement provisions. The legislation now goes to the Pres. Biden to be signed into law.
- By David Kopf
- Dec 23, 2022
As Congress now moves vote on the year-end budget package, the legislation includes language concerning key HME reimbursement objectives.
- By David Kopf
- Dec 20, 2022