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CMS limits scope of audits

 - 
09/01/2015

WASHINGTON – For redeterminations and reconsiderations of claims denied following a post-payment review or audit, CMS has instructed the MACs and QICs to limit their scope to the reason the claim or line item was initially denied, according to a recent MLN Matters article.

Prosthetic community ups ante

‘Get your hands off my legs’
 - 
08/28/2015

LINTHICUM, Md. – O&P stakeholders commented at a public hearing, staged a protest and participated in a high-stakes meeting with CMS, all in one day, in their bid to reverse proposed coverage changes for lower limb prostheses.

New contract period has pros and cons, say providers

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08/28/2015

YARMOUTH, Maine – HME providers are on the fence over whether the shorter contract period for Round 1 2017 is a draw or a deterrent.

New national RAC for HME?

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08/28/2015

YARMOUTH, Maine – A tug of war between CMS and the RACs over planned changes to contingency fees could lead to a new national RAC for HME, says Andrea Stark.

In brief: Plaintiff reaches proposed settlement with Invacare, United Health dominates MA market

 - 
08/28/2015

NEW YORK – The lead plaintiff in a class action lawsuit against Invacare has reached a proposed settlement of $11 million in cash, according to a statement from lead counsel Bernstein Litowitz Berger & Grossman.

Plaintiff reaches proposed settlement with Invacare

 - 
08/28/2015

NEW YORK – The lead plaintiff in a class action lawsuit against Invacare has reached a proposed settlement of $11 million in cash, according to a statement from lead counsel Bernstein Litowitz Berger & Grossman.

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HME NewsPoll August 2015

During the first quarter of 2015, 128,000 appeals were filed at the administrative law judge or ALJ level, with an average processing time of 588.9 days.

In 100 words or less, please describe the impact of the backlog on your business.

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