AAHomecare updates: Sequestration, innovative tech, supplier costs, TRICARE
By HME News Staff
Updated 8:28 AM CST, Fri January 22, 2021
Reps. Brad Scheider, D-Ill., and David McKinley, R-West Va., introduced have introduced H.R. 315, new legislation to continue the moratorium on the Medicare sequester cuts through the duration of the public health emergency. In December, Congress extended the pause on the 2% cuts, which were set to expire at the end of 2020, through March 2021…CMS published a final rule on Medicare Coverage of Innovative Technology and the Definition of “Reasonable and Necessary” on Jan. 14. The rule finalizes a new coverage program called “Medicare Coverage of Innovative Technology” to streamline “FDA-designated breakthrough medical devices” up to four years. It also codifies the “reasonable and necessary” definition with some modifications. The rule is effective March 15, 2021. See AAHomecare’s summary here…AAHomecare has developed a survey to demonstrate to CMS and legislators how much DME costs have increased since the payment rates from the last round of competitive bidding were established. Information will be confidential and only shared in aggregate. The deadline to submit a survey is Feb. 5…TRICARE West announced in December that it was automatically adjusting DMEPOS claims to reflect relief for providers included in the CARES Act from March 2020. As a result, providers no longer need to submit claim review requests for claims that qualify for these rate adjustments. Additionally, it announced that claims that were adjusted in error going back to Jan. 1, 2020 would also be reprocessed.
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