Tag: Human Design Capital
In brief: CMS considers MA audits, CPAP startup gets funding
December 31, 2015HME News Staff
WASHINGTON - CMS is considering expanding its RAC program for Medicare Advantage, according to a draft scope of work published by the agency.Currently, CMS audits 30 MA contracts per payment year, about 5% of the total number of contracts. Now it is considering increasing the number of contracts that are subject to some type of risk adjustment data validation audit, which validates the accuracy of diagnosis data submitted by MA organizations.“Our ultimate goal is to have all MA contracts subject...
In brief: Report cites spike in PAP use, Inogen sets IPO terms
February 7, 2014HME News Staff
WASHINGTON - The number of beneficiaries receiving PAP devices for a one-year time period grew 13%, while the total number of beneficiaries receiving all DMEPOS items during the same period fell 1%, according to a recently released comparative billing report. Compiled by eGlobal Tech and Palmetto GBA, the report used data from claims processed by the DME MACs between July 2012 and June 2013. They also found allowed charges on PAP devices rose 23%, when allowed charges for all DMEPOS items fell by...