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CMS’s Seema Verma: Current bid structure ‘not sustainable’

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07/12/2018

WASHINGTON – CMS Administrator Seema Verma says she wants to “modernize” the agency’s long-standing competitive bidding program for DMEPOS by instituting market-oriented reforms.

Proposed rule: Current bid contracts won’t be extended

Rule also proposes adjustments to fee schedule methodology, establish separate payment class for oxygen
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07/11/2018

WASHINGTON – A proposed rule released today seeks to make changes to the Medicare fee schedule and the competitive bidding program.

IFR comments pass 100 mark

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07/03/2018

WASHINGTON – A competitive bidding-related interim final rule had 136 comments on Monday, July 9, the deadline.

In brief: Proposed rule includes home infusion changes, OIG report reviews ‘place-of-service’ claims

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07/03/2018

WASHINGTON – Temporary transitional payments for home infusion therapy are moving forward, according to an upcoming proposed rule.

OIG to CMS: Take stronger look at ‘place-of-service’ claims

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07/02/2018

WASHINGTON – CMS’s edits didn’t detect $18.4 million in payments in 2015 for inappropriate claims for DME provided during non-covered stays in skilled-nursing facilities, according to a report from the Office of Inspector General.

Relaxed Stark Law: Could it result in increased efficiency but decreased competition?

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06/29/2018

WASHINGTON – A more relaxed Stark Law could be a double-edged sword for HME providers, says healthcare attorney Jeff Baird.

In brief: POCs on the rise, therapeutic shoe bill introduced

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06/29/2018

BOSTON – HME providers will continue to increase adoption of portable oxygen concentrators, to the tune of about 30% over the next 12 months, according to a 2Q 2018 survey on oxygen and sleep trends from Needham & Co.

Stakeholders push for comments on bid-related IFR

‘CMS refers to comments all the time,’ says VGM’s Gallagher
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06/22/2018

WATERLOO, Iowa – With only two weeks left until a July 9 deadline, a paltry 56 comments have been submitted in response to a competitive bidding-related interim final rule.

Court agrees broken appeals systems is unfair

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06/22/2018

DALLAS – A U.S. District Court’s recent opinion prohibiting CMS from recouping alleged overpayments from a provider going through the appeals process until after the administrative law judge level sends a strong message, industry stakeholders say.

Heard at Heartland: Engage your employees, leverage growing demand

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06/22/2018

WATERLOO, Iowa – Whether it’s medical supplies or a hot dog stand, if you want to build a world-class company, your employees need to provide exemplary service, said keynote speaker John DiJulius at the Heartland Conference last week.

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