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Probe finds 98% error rate for enteral

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12/14/2012

WASHINGTON – A prepayment probe by the Jurisdiction D DME MAC found that 98 of 100 reviewed enteral claims were denied because of various primary documentation errors, according to a CMS bulletin.

Reinforce use of prepayment edits, GAO says

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12/10/2012

WASHINGTON – Use of prepayment edits saved Medicare at least $1.76 billion in fiscal year 2010, but they could have saved even more had they been more widely used, according to a new study by the Government Accountability Office (GAO).

GAO labels Medicaid auditing process 'inefficient'

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12/10/2012

WASHINGTON – The Medicaid Integrity Group’s (MIG’s) hiring of separate review and audit contractors was “inefficient and led to duplication because key functions were performed by both entities,” according to a new study by the Government Accountability Office (GAO).

Industry ratchets up MPP talk

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12/07/2012

WASHINGTON – HME providers lit up the Capitol Hill switchboard Dec. 4 and 5 with one message: Support the market-pricing program (MPP).

Deadline looms in Nichole Medical case

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12/07/2012

YARMOUTH, Maine – A former HME provider whose civil suit was struck down by the U.S. Court of Appeals for the Third Circuit has until Jan. 19 to file an appeal that he hopes will push his case to the Supreme Court.

Reps circulate 'Dear Colleague' letter for MPP

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12/03/2012

WASHINGTON – Reps. Glenn Thompson, R-Pa., and Jason Altmire, D-Pa., are asking all co-sponsors of H.R. 1041, a bill that would repeal competitive bidding, to sign on to H.R.

H.R. 6490: 100 co-sponsors or bust

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11/30/2012

WASHINGTON – With 59 co-sponsors in their back pockets and organized lobbying efforts scheduled for Dec. 4 and 5, industry stakeholders have direct aim at 100 co-sponsors for H.R. 6490.

CMS to providers: Is your bid bona fide?

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11/30/2012

WASHINGTON – It appears CMS still has a ways to go before releasing the single payment amounts for Round 2 of competitive bidding.

CMS posts urgent bid alert

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11/29/2012

WASHINGTON – CMS “strongly urges” bidders to read the financial document requirements in the Round 1 recompete Request for Bids (RFB) instructions and to make sure all documents meet the specific requirements.

Medicare premiums to rise in 2013

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11/20/2012

WASHINGTON – The monthly premium for Medicare Part B, which covers home medical equipment, will increase 5% in 2013, from $99.90 to $104.90, CMS announced Nov. 16.

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