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reimbursement

Cures update: Georgia Medicaid reverses course

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03/01/2018

ATLANTA – HME industry stakeholders have succeeded in steering Georgia away from basing its Medicaid reimbursement on competitive bidding-based Medicare reimbursement, AAHomecare reported this week.

CMS starts implementation process for Cures provision

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11/28/2017

WASHINGTON – CMS wants state Medicaid programs to submit their DME fee schedules using a new spreadsheet to make sure they’re not paying too much for equipment, according to a notice in the Federal Register.

Bill would fix payment gap for home infusion

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07/11/2017

WASHINGTON – Reps. Pat Tiberi, R-Ohio, and Bill Pascrell, D-N.J., have introduced a bill that would create a “temporary transitional payment” for home infusion drugs beginning Jan. 1, 2019.

CMS comes through on wheelchair accessories

‘We have a little extra bounce in our steps’
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06/23/2017

WASHINGTON – With only days to spare, stakeholders have succeeded in getting CMS to refrain from cutting reimbursement for accessories for complex rehab power wheelchairs.

Update: Custom seats, backs under review, NCART says

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04/25/2017

WASHINGTON – The medical directors at jurisdictions B and C have agreed to do an “immediate review” of payments for custom seats (E2609) and custom backs (E2617), following their decision to change payments from individually priced to flat allowable, according to NCART.

Cures Act update: Could bill in Minnesota serve as template for relief?

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04/03/2017

ST. PAUL, Minn. – Minnesota could be the first state to introduce legislation to stave off a “pay for” in the 21st Century Cures Act that limits the federal portion of Medicaid reimbursement for DME to competitive bidding-influenced Medicare reimbursement starting Jan.

CMS solicits input on future reimbursement for non-bid areas

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03/07/2017

WASHINGTON – CMS has scheduled a call to solicit stakeholder input on its methodology for using information from the competitive bidding program for adjusting Medicare fee schedule amounts in non-bid areas.

Slow but steady: Industry convinces other payers to delay cuts

‘As soon as the Medicare fee schedule is updated, it will be easier’
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03/03/2017

WASHINGTON – The industry’s attempts to get other payers to honor a retroactive delay to Medicare reimbursement cuts are starting to pay off.

AAH appeals to Price to freeze rates

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03/02/2017

WASHINGTON – AAHomecare has asked newly minted Health and Human Service Secretary Tom Price to issue an interim final rule to repeal the fully adjusted Medicare rates that originally went into effect in non-competitive bidding areas on July 1, 2016.

AAHomecare to Tricare: Reprocess claims

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01/31/2017

WASHINGTON – AAHomecare is calling on the contractors administering Tricare military health plans nationwide to reprocess claims for HME for the last six months of 2016.

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