The Centers for Medicare & Medicaid Services … [Read more...]
CMS Announces Medicare, Medicaid Flexibilities After California Wildfires
PDAC Asks Catheter Manufacturers, Distributors to Provide Contact Info for Product Review, New HCPCS Codes
New HCPCS codes go into effect Jan. 1, 2026.
The Centers for Medicare & Medicaid Services’ … [Read more...]
HME Industries Disappointed to Be Excluded from December Spending Bill
DME funding relief, improved home infusion access, and pharmacy benefit manager reforms were left out.
Multiple segments within the home medical … [Read more...]
Noridian SMRC Conducting Post-Payment Review of Intermittent Catheter Claims for 2022-2023
The Supplemental Medical Review Contractor is reviewing claims with HCPCS codes A4351, A4352 and A4353.
Noridian Healthcare Solutions, the Supplemental … [Read more...]
ITEM Coalition Sends 75/25 Reimbursement Rate Letter to Congressional Leaders
More than 30 advocacy organizations are urging Congress to protect access to home medical equipment.
The ITEM Coalition has sent a letter to … [Read more...]
CMS Seeks to Remove ‘Barriers to Care’ in Medicare Advantage, Build Guardrails Around AI
The announcement targeted “inappropriate” use of prior authorizations by Medicare Advantage plans.
The Centers for Medicare & Medicaid Services … [Read more...]
CMS Proposes Medicare, Medicaid Coverage for Anti-Obesity Drugs
The Centers for Medicare & Medicaid Services’ proposed rule will be published in the Federal Register on Dec. 10.
The Centers for Medicare & Medicaid Services … [Read more...]
November HCPCS Public Meeting Includes Toilet Chair, Patient Lift, Palmetto Requests
Stakeholders are invited to attend the Nov. 6 CMS meeting.
The Centers for Medicare & Medicaid Services … [Read more...]
New Senate Report Highlights Medicare Advantage Prior Authorization Challenges: What HME Providers Should Know
More than half of Medicare-eligible beneficiaries were enrolled in Medicare Advantage plans in 2024.
Prior authorization remains a serious roadblock … [Read more...]
Inside the Leitten NCB Report: How DME Can Save Medicare Money
The newly published VGM report emphasizes that durable medical equipment is an investment rather than a cost to be reduced.
The Medicare national competitive bidding program … [Read more...]