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CMS reverses stance on financial capacity

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11/14/2013

WASHINGTON – HME providers in the competitive bidding program may no longer decline referrals after reaching their financial capacity, according to AAHomecare.

CMS to brief congressional staff on bid program

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11/14/2013

WASHINGTON – A meeting with CMS and congressional staff on DME competitive bidding, originally cancelled due to the government shutdown, is being rescheduled in the coming weeks, industry stakeholders say.

CMS clarifies “homebound”

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11/12/2013

BALTIMORE – Medicare beneficiaries must now meet two sets of criteria to be considered “homebound,” according to new rules that take effect Nov. 19.

Take PECOS seriously, stakeholders say

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11/08/2013

WASHINGTON – CMS has set a new start date for denying DME claims with the names of physicians who are not enrolled in PECOS and, this time, it may stick, industry stakeholders say.

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.

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