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New contract suppliers, new licensure issues?

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11/08/2013

WASHINGTON – It’s still early, but industry stakeholders are already hearing reports of licensure issues in the Round 1 re-compete.

CMS announces start date of PECOS edits

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11/07/2013

BALTIMORE – CMS will start editing DME claims to determine whether or not the ordering or referring physician has enrolled in the Provider Enrollment, Chain and Ownership System (PECOS) on Jan. 6, 2014, according to a new bulletin.

What’s behind pattern of low bid rates?

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11/01/2013

WASHINGTON – HME providers say fear of being excluded from the Medicare program prompted the low reimbursement rates for the Round 1 re-compete.

In brief: Gov’t delays hearings, Cardinal highlights AssuraMed

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11/01/2013

WASHINGTON – The Office of Medicare Hearings and Appeals (OMHA) will defer assignments for hearings—possibly up to 28 months, according to a recent notice.

OIG finds payments for dead beneficiaries

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11/01/2013

WASHINGTON – Medicare paid $23 million in improper payments on behalf of deceased beneficiaries in 2011, according to an Oct. 31 report from the Office of Inspector General (OIG).

CMS lowers interest rates

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10/31/2013

WASHINGTON – CMS has announced a 0.5% decrease in the interest rate on Medicare overpayments and underpayments, according to a recent AAHomecare bulletin.

PMD data not clear-cut, stakeholders say

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10/25/2013

WASHINGTON – Spending on power mobility devices in seven states has dropped nearly 50%, from $20 million in September 2012 to $11 million in June 2013, according to a recent CMS update on the PMD demo.

DME MAC outlines provider responsibilities

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10/24/2013

WASHINGTON – CMS has yet to issue official guidance concerning abandoned oxygen patients, other than to say the new providers who pick them up can bill for new 36-month rental periods.

PMD demo: Spending plummets across the country

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10/22/2013

WASHINGTON – CMS has cut spending for power mobility devices by more than half since the PMD demo began, according to a Sept. 28 update.

Providers in bid areas see glitch in payments

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10/18/2013

YARMOUTH, Maine – Some providers in Round 2 competitive bidding areas (CBAs) say they’re running into trouble billing for complex rehab accessories.

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