Aetna Revises DME Policies for TENS
Aetna Health Plan has revised their TENS policy effective 6/25/2013 to state that TENS is considered experimental and investigational for chronic low back pain. Change in Stance Aetna now considers …
CMS quiet on Skilled Care Reimbursement Changes Fueled by Lawsuit
In recent years, many skilled care operators have nervously watched the Centers for Medicare & Medicaid Services reduce and sometimes eliminate payments for physical, occupational and speech therapy services. But …
OIG to CMS: Rein in CPAP supplies
The Office of Inspector General (OIG) recommends that CMS review and revise the replacement schedule for CPAP supplies in a report published today (June 26). The OIG studied the replacement …
Senate Finance Committe Warns of Audits Hurting DME Providers with Red Tape
In a Senate Finance Committee hearing this past Tuesday, Chairman Max Baucus (D-Mont.) called on Congress and the administration to strengthen a key Medicare program that saves taxpayers millions of …
Patient View: New Mediare Diabetic Testing Supplies Program
July 1st Medicare patients with diabetes will have to change how they get their diabetic testing supplies. That is when Medicare Part B will implement a national mail-order program. In …
Lawmakers call on OIG to investigate competitive bidding
In a June 21 letter to the Office of the Inspector General (OIG), Reps. Glenn Thompson, R-Pa., and Bruce Braley, D-Iowa, call on the agency to investigate the possibility that …
Oregon Revives Bill to Crack Down on Regence BCBS Payments to ASCs
Oregon’s House of Representatives has revived a measure that will prevent abusive payment practices to ASCs by Regence BlueCross BlueShield, according to The Lund Report. The measure, called the rider …
Reality Check: Competitive Bidding Program Myths Versus Facts
The Medicare DMEPOS Competitive Bidding Program Myths Versus Facts Reality Check Recently CMS released a document titled “The Medicare DMEPOS Competitive Bidding Programs: Myths vs. Facts”. This document …