OIG targeting Medicare ambulance trips
Ambulance trips for dialysis treatment rose 269 percent for Medicare recipients between 2002 and 2011, while the number of covered trips overall rose 69 percent, the Office of Inspector General …
NCTracks Continues to Devastate Medical Businesses
During the final week of August, Jordan Karimi was spending his days cleaning up the office, making final phone calls and saying goodbye to co-workers. Karimi, 28, had worked for …
Repair Crisis Deepens Across Pennsylvania and the Nation
Ann Eubank from UsersFirst has advised PAMS that CMS has asked United Spinal Association to take the lead on gathering consumer data on a rapidly degenerating repair access crisis in …
Congressman Rothfus vows to modify Medicare bidding plan
U.S. Rep. Keith Rothfus told local business owners on Wednesday that he’ll lobby to change Medicare’s rules governing bidding by medical equipment suppliers. Rothfus, R-Sewickley, said he is one of …
GAO Releases Report on CMS Auditors
The Government Accountability Office (GAO) released a report titled “Increasing Consistency of Contractor Requirements May Improve Administrative Efficiency.” GAO undertook the study at Congress’ request because questions have been raised …
Competitive Bidding Prices coming to Medicaid?
A Recent OIG report suggests Texas Medicaid DMEPOS costs may be exceeding medicare costs in Competitive Bidding Areas. WHY OIG DID THIS STUDY States establish their Medicaid payment amounts for …
PA DPW Issues Remittance Advice Alert: Voiding of Certain Durable Medical Equipment Claims
The Pennsylvania Department of Public Welfare through the Comptroller’s Office has completed a special review of durable medical equipment (DME) rentals that paid in error without prior authorization after three …
HME News: CMS throws safety net to oxygen patients
It appears CMS has finally realized that you can’t get blood from a stone—or oxygen equipment and services from an HME provider that has gone out of business. CMS announced …