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Tag: Medicare

Government

AAHomeCare: Take Action Now – Binding Bid Legislation

The American Association for Homecare is proud to work with Congressmen Pat Tiberi (R-Ohio) and John Larson (D-Conn.) as they build support for H.R. 4920, the Medicare DMEPOS Competitive Bidding …

Reimbursement

MedPAC: ACOs should be allowed to waive 3-midnight requirement for Medicare skilled nursing coverage

Accountable care organizations should be able to place patients in skilled nursing facilities more quickly and communicate which SNFs are preferred providers, the Medicare Payment Advisory Commission stated in a …

audit stamp
Regulations

HME News: Bid, audit bills near prime time

Industry stakeholders expect Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn., to lead a group of lawmakers in introducing a bill this week that would require HME providers to obtain …

Government

Supreme Court Denied Review to Medicare Contractor Claims Challenge

The Supreme Court denied a petition for certiorari which challenged a Medicare contractor’s handling of over 15,000 individual medical claims submitted for inpatient rehabilitation services by one provider. This denial …

home medical equipment news
Reimbursement

HME News: Providers debate prior auth proposal

A majority of HME providers welcome the idea of prior authorizations for certain DME, but they say Medicare’s proposed timeline for returning decisions is unreasonable. Sixty-nine percent of the 160 …

Regulations / Reimbursement

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 …

Regulations / Reimbursement

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 …

Government / Industry / Reimbursement

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 …

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