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Medicaid: Expect more scrutiny

Several factors are contributing to an uptick in audits, say consultants
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04/12/2019

YARMOUTH, Maine – With the Office of Inspector General and other government agencies regularly issuing reports on Medicaid overpayment issues, it’s no surprise that audits are increasing, says Kelly Grahovac.

Feds bust $1.2B brace fraud scheme

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04/10/2019

WASHINGTON – The federal government has charged 24 defendants, including executives at five telemedicine companies, the owners of dozens of DME companies and three licensed medical professionals, for their roles in a healthcare fraud scheme that resulted in $1.2 billion i

MCO bill becomes law in Kentucky

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04/05/2019

FRANKFORT, Ky. – Kentucky Gov. Matt Bevin has signed into law a bill that streamlines DME regulations and reimbursement policy for the managed care organizations managing the state’s Medicaid program.

The bill ensures that MCOs:

In brief: PFQC launches consumer survey, NSM doubles down on Canada

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04/05/2019

WATERLOO, Iowa – People for Quality Care has launched a survey for Medicare beneficiaries and family caregivers to measure their experiences getting durable medical equipment and supplies.

AARC readies to lobby

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04/03/2019

WASHINGTON – Members of the American Association for Respiratory Care will meet with lawmakers on Capitol Hill on April 9 to seek support for the BREATHE Act.

PFQC launches consumer survey

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04/02/2019

WATERLOO, Iowa – People for Quality Care has launched a survey for Medicare beneficiaries and family caregivers to measure their experiences getting durable medical equipment and supplies.

New Hampshire: Granite State providers seek changes to Medicaid managed care

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04/01/2019

CONCORD, N.H. – HOMES is trying to get out ahead of the next round of Medicaid managed care contracts in New Hampshire and incorporate protections for HME providers.

David Chandler on MCOs: ‘We need to transform school of thought’

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04/01/2019

WASHINGTON – AAHomecare will grow its payer relations team in April to include David Chandler as its director of payer relations.

Road to Round 2021: New calculator highlights ‘bid ceiling,’ comparisons

Stakeholders say it’s more robust than CMS’s calculator
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03/29/2019

WASHINGTON – Stakeholders have updated an industry website dedicated to competitive bidding information with a calculator to help HME providers formulate their bids for the next round of the Medicare program.

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