Medicaid providers say NCTracks problems continue
A year after North Carolina launched a massive overhaul of the state’s Medicaid billing system, some providers are still reporting major problems that have lead to increased paperwork and patients …
Medicare audits hurt providers, lawmakers complain
Efforts to fight fraud in the nation’s massive health care program for seniors have burdened many honest providers, pushing some out of business, lawmakers complained Tuesday. At a House subcommittee …
Groups urge feds to reimburse ACOs for telehealth
Saying they want to improve care coordination, several organizations are calling on the federal government to reimburse accountable care organizations for the use of telehealth and remote patient monitoring technologies. …
Patients Caught in the Middle of Medicare
Every day is a battle for Dorothy Coggins, even with her daughter Patty by her side. But her bout isn’t only physical. It started in late April when Dorothy had …
Breaking News: Advance Copy of New CMS Proposed Rule
Yesterday afternoon, AAHomecare received an advance copy of a proposed rule for prior authorization of DMEPOS items in Medicare Part B. In this proposed the rule, CMS is soliciting public …
CMS Proposes Medicare Prior Authorization Process For DMEPOS Subject To “Unnecessary Utilization”
CMS has just released a proposed rule that would require Medicare prior authorization (PA) for certain Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that the agency characterizes …
Medicare RACs at a crossroads
CMS wants to focus on improper payment prevention, but will providers see fewer burdens? With Medicare’s “two midnight rule” set to take effect later this year and audit appeals facing …
CMS proposes waiting longer to pay Medicare Auditors
Medicare officials want to make it harder for their recovery-audit companies to collect fees for auditing hospital and doctor bills. Earlier this week, the Government Accountability Office gave the CMS …