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B&F’s Bachenheimer unpacks proposed bidding methodology

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07/20/2018

WASHINGTON – CMS’s recently issued proposed rule proposes two key improvements for the competitive bidding program: lead item pricing and clearing price to establish the single payment amounts (SPAs).

Lead item pricing

In brief: Study highlights bid program’s flaws, Amazon eyes medical supplies pilot

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07/20/2018

SAN FRANCISCO – Add the Pacific Research Institute to the long list of economists and researchers who believe CMS’s current competitive bidding program for HME is inefficient at best and dangerous at worst.

New study highlights bid program’s flaws

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07/20/2018

SAN FRANCISCO – Add the Pacific Research Institute to the long list of economists and researchers who believe CMS’s current competitive bidding program for HME is inefficient at best and dangerous at worst.

CMS upends competitive bidding

Agency pauses program with plans to implement significant changes, including some that stem from industry recommendations
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07/13/2018

WASHINGTON – All Medicare-enrolled HME providers are back in business starting Jan. 1, 2019.

In brief: Upstate HomeCare leverages HealthSqyre for growth, ResMed joins forces with Verily

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07/13/2018

CLINTON, N.Y. – Upstate HomeCare has announced a strategic partnership with HealthSqyre, a Denver-based online CPAP marketplace.

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.

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