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Tag: Medicare

Regulations

CMS Announces Extension of Non-enforcement of Face-to-face Rule

Cites Need for Additional Time to Establish Protocols Due to continued concerns that some providers and suppliers may need additional time to establish operational protocols necessary to comply with face-to-face …

Reimbursement

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 …

Reimbursement

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 …

Payor

According to Report Medicare Spending in Rochester Area is Lowest in Nation

The Rochester region has the lowest rate of Medicare health spending in the country, according to a new report from the National Institute of Medicine. The report shows that Medicare …

Beneficiary / Payor

House bill would raise some Medicare patient fees

Wealthier seniors would pay higher Medicare premiums, and a co-payment for home health services would be required under Medicare reform legislation introduced in the House on July 19. House Ways …

Government

Medicare beneficiary turned patient recruiter sentenced to federal prison

Robert Glenn Baker, 57, of Houston, has been sentenced for conspiracy to violate the anti-kickback statute, United States Attorney Kenneth Magidson announced. Baker pleaded guilty to the charge on Aug. …

Government

Casey pushes plan to broaden Medicare coverage

Patients in skilled nursing facilities are likely footing their own bills – sometimes racking up thousands of dollars – if they were previously hospitalized under an “outpatient observation status.” Medicare …

Government

Medicare Policies Restricting Power Wheelchair Repairs Leave Vulnerable Beneficiaries with Limited Mobility

For years, William Welch, 58, was a truck driver, a free spirit traveling along the roads. But now Welch spends his days in a Brunswick, Md. apartment, barely able to …

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