AAH round up: Blended rates, accreditation, Tricare West, tax penalties

Friday, July 31, 2020

WASHINGTON – The DME MACs have been instructed to reprocess claims from March 6-April 22 that should have been paid at the 75/25 blended rate per the CARES Act. Only competitively bid items in non-rural, non-bid areas are impacted. Suppliers will be notified via the listserv…CMS will resume some accreditation and enrollment activities. Depending on a state’s reopening plan, surveys will be conducted onsite, virtually or a combination. New suppliers who enrolled during the pandemic that have not been accredited will receive notification from the National Suppliers Clearinghouse and will have 30 days to complete an application to an accrediting organization. CMS has posted an FAQ on that matter…Tricare West will adjust its fee schedule to reflect rates granted by the CARES Act in response to a request from the AAHomecare. Tricare East adjusted its rates in June…AAHomecare has stated its support for the Eliminating the Provider Relief Fund Tax Penalties Act 2020, introduced by Reps. Cynthia Axne, D-Iowa, and Neal Dunn, R-Fla. The legislation would ensure providers don’t lose 20% or more of the relief Congress has provided to offset increased costs and lost revenues stemming from the pandemic.