The Centers for Medicare & Medicaid Services … [Read more...]
More HCPCS Codes to Be Added to Medicare Prior Authorization Process in October
Stakeholders React to End of New Supplier Enrollment Moratorium
Organizations emphasized curbing fraud without restricting patient access.
Healthcare stakeholders are applauding the Aug. 27 … [Read more...]
OIG Publishes White Paper on Medicare DME Fraud
The report discussed the three factors needed to commit fraud and how CMS can guard against them.
The U.S. Department of Health & Human … [Read more...]
Wound Care Association Urges Public Comments on CY 2027 Medicare Physician Fee Schedule
Comments are due by Sept. 14.
The American Professional Wound Care Association … [Read more...]
New Study Examines Medicare Advantage Prior Authorization Denials, Successful Appeals
KFF analysis showed appeals are often successful, but not often used.
A new study by KFF (formerly Kaiser Family … [Read more...]
Increased Home Infusion Demand Challenges Home Health Care Providers
More complex patients are being discharged to their homes, but is current home infusion policy keeping up?
The healthcare trend to transition patients from … [Read more...]
Proposed Rule Recommends Eliminating Face-to-Face Requirement for Replacement DMEPOS
The F2F would not be required for replacement equipment in the same HCPCS code.
The newly released prospective payment system … [Read more...]
CMS Proposes Adding ‘Country of Origin’ Info to Competitive Bidding Program
The Centers for Medicare & Medicaid Services … [Read more...]
NHIA: CMS Prospective Payment Update Fails to Solve Home Infusion Access Problems
Medicare's reimbursement policies lag far behind policies of other payers.
The National Home Infusion Association (NHIA) says … [Read more...]
MedPAC: DMEPOS Suppliers Lead Medicare in Improper Payment Errors
The error rate for DMEPOS suppliers was nearly four times the overall Medicare fee-for-service improper payment rate of 6.6%.
Suppliers of durable medical equipment, … [Read more...]