Registration will open Dec. 1, 2026, for durable … [Read more...]
CMS Announces Dates for Competitive Bidding Supplier Registration, Bid Window
More HCPCS Codes to Require F2F, Written Order Prior to Delivery Starting Oct. 28
Impacted codes include manual wheelchairs, AFOs and orthoses.
The Centers for Medicare & Medicaid Services … [Read more...]
New Suppliers Subject to Probationary Prior Authorization for Certain HCPCS Codes
Affected codes includes orthoses and osteogenesis stimulators.
Newly enrolled Medicare suppliers of durable … [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...]
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...]
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...]
CMS Toughens Oversight of Accrediting Organizations
The Centers for Medicare & Medicaid Services published a final rule and fact sheet in June.
The Centers for Medicare & Medicaid Services … [Read more...]
Competitive Bidding Update Announces Lead Items, Pricing
The June 4 update marks the beginning of CMS’s pre-bidding supplier awareness program.
The June 4 update of the Centers for Medicare … [Read more...]
‘Unnecessary and Very Burdensome’: Organizations Respond to Medicaid Work Requirement Interim Final Rule
Advocacy groups worry about unintended consequences for states and Medicaid patients.
Healthcare and advocacy organizations are reacting … [Read more...]