Medicare Red Tape Relief Project Gathers Steam

Industry submits comments to the Ways and Means Committee regarding initiative to reduce Medicare regulations.

The American Association for Homecare submitted public comments to the Ways and Means Committee for its Medicare Red Tape Relief Project, a far reaching effort to reduce uncessary and burdensome regulation.

Kicked off by the Ways and Means Subcommittee on Health earlier this summer, the initiative aims to cut Medicare regulations. At that time, AAHomecare asked providers to share their feedback on regulations they find a hindrance or burden.

“This is the first time any major committee has considered not just any of our issues, but the whole climate of our industry; the regulatory burdens that we’re under; and the things that don’t make sense for the patients we serve in an investigative way,” said Georgie Blackburn, vice president of government relations and legislative affairs for HME provider HME provider BLACKBURN’S. “… It’s very important that we have a major committee saying, ‘We’re going to take this to task.’”

Additionally, AAHomecare also responded to a CMS request for information (RFI) for ideas on how it can reduce burdensome regulations in the 2018 ESRD PPS Proposed Rule (CMS-1674-P). That association’s comments to both Ways and Means and the CMS RFI recommendations included:

  • Reform the audit and appeal system and expand the prior authorization program
  • Expand DMEPOS HCPCS coding to ensure items are accurately and effectively categorized
  • Modernize gap filling pricing methodology
  • Modify how items are categorized as inexpensive and routinely purchased and capped rental
  • Reform the DMEPOS competitive bidding program
  • Eliminate the oxygen budget neutrality adjustment
  • Consider power seat elevation technology for coverage when submitted as a component on a medically necessary power wheelchair
  • Remove burdensome documentation requirements
  • Increase program transparency and include stakeholders in policy development processes
  • Reform health status monitoring by reviewing beneficiary disease states across the entire Medicare program

A copy of Ways and Means feedback here and CMS RFI comments is at http://bit.ly/2vOhP9k.

About the Author

David Kopf is the Editor of HME Business.

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