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Univita files for bankruptcy


MIRAMAR, Fla. – Univita Health filed for Chapter 7 bankruptcy Aug. 28 in a move to liquidate its assets after closing abruptly earlier in the month.

CMS targets Medicare Advantage for alternative model


BALTIMORE – CMS has announced plans to test a Value-Based Insurance Design Model to improve care and reduce costs in Medicare Advantage plans.

CMS limits scope of audits


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’

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


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?


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.




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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