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CMS bulks up PA program

Agency also adds four codes to ‘Master List’
 by: 
HME News Staff
  - 
04/19/2019
  | 
General News

WASHINGTON – CMS has added seven codes for complex rehab power mobility devices and five codes for support surfaces to the national prior authorization program, AAHomecare reports.
The agency will roll the PMD codes into the program within 90 days, or July 21 by the association’s estimates.

Stakeholders launch bid website

by: 
HME News Staff
  - 
04/18/2019
  | 
General News

WASHINGTON – A group of HME industry stakeholders has officially launched dmecbpeducation.com, a website for providers to learn about the changes in Round 2021 of competitive bidding and to prepare their bids.

Accessories bill re-introduced in House

by: 
HME News Staff
  - 
04/15/2019
  | 
Mobility

WASHINGTON – Reps. John Larson, D-Conn., and Lee Zeldin, R-N.Y., have re-introduced a bill that would permanently exempt complex rehab manual wheelchairs from Medicare’s competitive bidding program and would stop the agency from applying bid-related payment rates to accessories for those wheelchairs for 18 months.

Also Noted

Industry knew feds would bust ‘obvious’ fraud

‘It’s a clear kickback, black and white’
 by: 
Liz Beaulieu
  - 
04/12/2019
  | 
General News

WASHINGTON – HME industry stakeholders aren’t surprised by a $1.2 billion fraud scheme involving medically unnecessary braces and they’re glad to see “bad actors” punished.

Non-rural providers feel sidelined

by: 
Theresa Flaherty
  - 
04/12/2019
  | 
Providers

YARMOUTH, Maine – HME providers located in the “no-man’s land” between rural areas and competitive bid areas say they are nearing the breaking point.

Pay attention to bid calculators, say poll respondents

by: 
Liz Beaulieu
  - 
04/12/2019
  | 
General News

YARMOUTH, Maine – Nearly 80% of the respondents to a recent HME Newspoll say they have used or plan to use new bid calculators developed by industry stakeholders to help them formulate their bids for Round 2021.

Mobility

Vendors

Providers

Specialty Providers

Poll

HME NewsPoll May 2019

Industry stakeholders recently released bid calculators to help HME providers formulate their bids for Round 2021.

This round of bidding uses lead-item pricing, making it substantially different than previous rounds of bidding. In 100 words or less, please share how lead-item pricing is changing the way you formulate your bids.