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Author: Keith Kuhn

Payor / Reimbursement

Mississippi House Bill would force health insurers to accept any providers

Insurers would have to accept any medical provider who meets contract terms into their network under a bill moving forward in the Mississippi House. The House Insurance Committee voted 7-6 …

Payor

Piedmont and Aetna/Coventry sign off on coverage agreement

Piedmont Healthcare announced Friday afternoon that it has reached agreement with Aetna/Coventry on a new three-year contract. Under the agreement, Aetna/Coventry members will continue to receive covered benefits, at in-network …

Government / Reimbursement

Proposed Medicare Changes Threaten Nation’s Most Vulnerable

Despite the fact that Medicare’s per capita cost increases are at historic lows, policymakers continue to look for ways to put new constraints on program spending. There’s nothing inherently wrong …

Government / Reimbursement

H.R. 1717 GAINS TWO MORE CO-SPONSORS

H.R. 1717, a bill that would replace competitive bidding with the industry’s market pricing program, continues to draw support. This week, two more lawmakers co-sponsored the legislation, which was introduced …

Regulations / Reimbursement

PECOS Ordering Referring Physician Data Problem Fixed

On January 15, CGS notified providers of an issue related to the ordering/referring physician data in the DME MAC claim system. CMS provided a corrected file to the DME MACs …

Payor

Renown launching First accountable care Medicare model in Northern Nevada

Northern Nevada will have access to another key component of the Affordable Care Act following the federal government’s approval of Renown Health’s plans to launch a new coordinated care system. …

Industry

DeVilbiss Introduces EasyFit Lite Nasal Mask

DeVilbiss Healthcare has added a new nasal mask to its line of CPAP interfaces. The EasyFit Lite Nasal Mask provides a number of the premium features found on DeVilbiss’ existing …

Reimbursement

New HCPCS Code (K0900) for Custom DME

According to Joint DME MAC A, a new HCPCS code, K0900, has been created for use with custom fabricated durable medical equipment other than wheelchairs. 42 CFR §414.224(a) describes the …

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