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Integrity director Budetti leaving CMS

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09/10/2013

BALTIMORE – Peter Budetti, the first director of the CMS Center for Program Integrity (CPI), is retiring. His last day with CMS is Wednesday, Sept. 11.

CMS again delays face-to-face rule

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09/09/2013

BALTIMORE – In response to ongoing concerns from providers and suppliers, CMS announced Sept. 9 that it is delaying enforcement of the face-to-face rule until sometime next year.

OIG tackles bid savings and improper payments

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09/06/2013

WASHINGTON – The Texas Medicaid program could have saved $2 million in the Dallas/Forth Worth area alone if it had used competitive bidding pricing for certain DME items in fiscal year 2011, according to a new study from the Office of Inspector General (OIG).

OIG will ‘peel back onion’ on CMS, stakeholders say

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08/30/2013

WASHINGTON – If an investigation by the Office of Inspector General (OIG) goes the HME industry’s way—and stakeholders believe it will—CMS will no longer be able to blow off concerns about competitive bidding.

CMS throws safety net to oxygen patients

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08/30/2013

BALTIMORE – It appears CMS has finally realized that you can’t get blood from a stone—or oxygen equipment and services from an HME provider that has gone out of business.

PMD demo hits one-year mark

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08/30/2013

YARMOUTH, Maine – With a year now under their belts, providers say there is a mixture of pros and cons to the power mobility device (PMD) demonstration project. 

CMS outlines expedited process for NCDs

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08/29/2013

WASHINGTON – CMS has announced an updated process for new or reconsidered national coverage decisions (NCDs). According to a notice published in Federal Register, CMS will periodically publish on its website the NCDs it proposes to remove and the reasons why.

AAHomecare joins in coding reform effort

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08/29/2013

WASHINGTON – Due to lack of oversight and industry input, AAHomecare believes the current CMS coding system does not accurately describe items and services covered and reimbursed.

CMS addresses providers going out of business

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08/23/2013

WASHINGTON – CMS has announced that, effective immediately, it will allow the replacement of oxygen equipment when suppliers exit the business.

CMS announces improvements to PECOS system

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07/25/2013

WASHIINGTON – Various improvements, including validation checks, have been implemented for the Internet-based PECOS system, according to a CMS announcement.

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