Tag: Payment
Stakeholders on seat elevation: ‘We need more details’
March 20, 2024Liz Beaulieu, Editor
WASHINGTON – Complex rehab stakeholders are disappointed in CMS’s payment rate for seat elevation systems and have requested a meeting with the agency to learn more about how it landed on about $2,000.
That rate is lower than the $2,800, on average, that providers are being paid for the systems on an interim basis, and significantly lower than the rate stakeholders had recommended.
“The payment piece was disappointing,” said Wayne Grau, executive director...
CMS releases coding, payment info for seat elevation systems
March 4, 2024HME News Staff
WASHINGTON – CMS has announced coding and payment information for seat elevation systems for complex rehab power wheelchairs, AAHomecare has reported.
The key takeaways, according to the association:
Discontinues existing HCPCS Level II code E2300, “Wheelchair accessory, power seat elevation system, any type,” effective March 31, 2024
Establishes E2298, “Complex rehabilitative power wheelchair accessory, power seat elevation system, any...
MediStreams highlights performance
February 5, 2024HME News Staff
ROSWELL, Ga. – MediStreams, a provider of health care remittance and reconciliation solutions, ended 2023 with more than 500 end-clients on its platform, representing nearly 15,000 unique provider locations, clinics, branches and facilities. "MediStreams experienced tremendous growth and success throughout 2023,” said Jim Coyle, CEO. “As we carry that strong momentum into 2024, we look forward to strengthening our leading position in the market and delivering exceptional service...
CMS boosts pay for antibody treatment in the home
May 10, 2021HME News Staff
WASHINGTON – CMS has established a higher rate of $750 to administer monoclonal antibody treatment to Medicare beneficiaries with COVID-19 in their homes, including permanent residences or temporary lodgings.
The new rate accounts for the increased costs associated with the one-on-one nature of this care model and reflects additional information provided to CMS about providing these services in a safe and timely manner.
“CMS’s...
AAHomecare comments on product innovation
November 3, 2020HME News Staff
WASHINGTON - CMS needs to move away from the gap-fill methodology and develop an alternative payment system, AAHomecare urges in comments to a recent proposed rule on innovation and technology.
The association says a new payment system would ensure appropriate payment and access, should a device receive approval under the proposed “Medicare Coverage of Innovative Technology” (MCIT).
CMS has proposed MCIT as a streamlined pathway for “FDA-designated breakthrough...
We follow Medicare guidelines, they say
November 13, 2019HME News Staff
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Many Medicare beneficiaries are being enticed by celebrities on TV to select a Medicare Advantage (MA) plan over original Medicare fee for service (FSS) with all the standard benefits of Medicare at a lower out-of-pocket cost. These plans often state they provide additional benefits, such as gym memberships, transportation and eyeglasses, so how can they provide more benefits with a lower cost? Seems too good to be true, doesn't it? How can these private,...
Rep. Gallego calls on VA to speed up payments
October 1, 2019HME News Staff
WASHINGTON - Rep. Ruben Gallego, D-Ariz., has sent a letter to the Veterans Benefits Administrator expressing his concerns about delayed payments to providers that perform VA-authorized installations, repairs and maintenance of automobile adaptive equipment (AAE). Gallego expressed concerns over reports of thousands of past-due reimbursement invoices totaling more than $34 million between 2010-15. “This is causing serious operational and payroll issues at businesses that cannot afford to be...
Cash-only CPAP provider debuts
September 3, 2019HME News Staff
MIDDLEBURGH HEIGHTS, Ohio - Miguel Semidey has opened a retail store here called CPAP EquipSource to sell CPAP machines, masks, nebulizers, supplies, POCs and more to cash-paying customers, according to cleveland.com. “Right now, we're trying to attract that out-of-pocket customer who doesn't want to deal with an insurance company,” he told the website. “A lot of patients, for whatever reason, don't have options. They come to us and see different options in person, as...
NHIA denounces new proposed rule
July 16, 2019HME News Staff
ALEXANDRIA, Va. - A proposed rule published last week fails to address a “deeply flawed policy” that reimburses home infusion services only on days when a nurse is present in the patient's home, says the National Home Infusion Association. “This policy fundamentally misunderstands how home infusion is delivered, could jeopardize patient safety and creates barriers that have already inhibited patient access to these services,” said Logan Davis, PharmD, chairman of NHIA's board...
CMS to pay more for CPAP alternative
August 7, 2018HME News Staff
MINNETONKA, Minn. - An alternative to CPAP therapy has been approved by CMS for a new technology add-on payment to hospitals. The NTAP program will provide additional reimbursement on top of the standard Medicare Severity Diagnosis Related Group payment to hospitals under the Medicare Hospital Inpatient Prospective System for Respicardia's remed? System, an implantable device that treats the effects of central sleep apnea by restoring a more normal breathing patter during sleep. The add-on payment...