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      Industry makes 'incredible' push to delay competitive bidding

      WASHINGTON - --Sens. Max Baucus, D-Mont., and Chuck Grassley, R-Iowa, haven't seen eye-to-eye on a Medicare package, but they came together last week to introduce a bi-partisan bill that would delay national competitive bidding.

      S. 3144 mirrors H.R. 6252, a bi-partisan bill introduced earlier this month by Reps. Pete Stark, D-Calif., and Dave Camp, R-Mich. The bills would terminate Round 1 contracts, which are scheduled to take effect July 1, and re-bid them in 18 to 24 months. They would also delay Round 2 until at least 2011.

      "The push we have on this is incredible," said Dan DeSimone, CEO of Continued Care of Long Island in Farmingdale, N.Y., and president of the New York Medical Equipment Providers Association. "A year ago, none of us would have thought this would be happening."

      Between sponsors and co-sponsors, the effort to delay competitive bidding now has support from all the chairs and ranking members in all the committees with jurisdiction over budgetary matters, industry sources pointed out. Baucus and Grassley, for example, are the chairman and ranking member of the Finance Committee.

      Industry stakeholders would like to get S. 3144 attached to a Medicare package that Congress must pass before July 1 to avoid a scheduled cut to physician rates.

      "We have momentum," said Cara Bachenheimer, senior vice president of government relations for Invacare. "Now we just need them to move on the doc-fix bill. In theory, Baucus and Grassley, who are working on the bill, aren't that far away. They went through this last year, so it's not like it's new."

      Next week, if it doesn't look like a Medicare package will get passed, Baucus and Grassley and Stark and Camp may try to get their bills passed as standalone bills, said Seth Johnson, vice president of government affairs for Pride Mobility Products.

      "Stark has enough votes in the House to bring his bill to a vote and get it passed," he said. "The real problem is getting the Baucus and Grassley bill through the Senate in a timely manner. If it doesn't happen before July 1, we don't think CMS or Congress will want to stop the program retroactively."

      There's also a rumor on Capitol Hill that Michael Leavitt, secretary of the Department of Health and Human Services, will use his administrative authority this week to secure a short-term delay of competitive bidding. The delay would allow disqualified bidders to resubmit information and be reconsidered for the program.

      In the days leading up to July 1, industry stakeholders planned to keep the pressure on members of Congress to delay competitive bidding.

      "We're circling back to the senators who signed the letter to delay competitive bidding to co-sponsor (S. 3144)," said Walt Gorski, AAHomecare's vice president of government affairs. "We're also working with the state associations. We're cutting things extremely close to the wire, so all efforts are aimed at the delay."

      It was still unclear late last week, industry sources said, whether Baucus still seeks to make cuts to home oxygen therapy and power wheelchairs to help prevent the cut to physician rates. Industry stakeholders continue to push Grassley's Medicare package, which doesn't contain the cuts.

      Suggested stories:
    • Oxygen cap: CMS releases more details
    • Surety bond requirement makes comeback
    • Questions linger as oxygen cap kicks in

    • Email to editor | Comments (0)

       
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      CALENDAR

      July 2009
      Dallas, Texas
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      Des Moines, Iowa.

      Gurnee, Ill. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      South Bend, Ind. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Hosted by Andrea Stark, this teleconference will help attendants understand how to use CMNs; know which situations require a CMN and know which CMNs are accepted by Medicare. 2 p.m. EST. $99 to attend; $99 for recording; $119 to attend and receive recording. FMI and to register, visit www.miravistallc.com.

      Andrea Stark will discuss updated CMN coverage criteria for several topics, including oxygen (initial & revised CMNs, recertification, testing modalities, etc.), lymphedema pumps, seat lift mechanisms, TENS, and enteral nutrition (formulas, pumps, feeding supply kits, etc.).
      For more info:
      http://www.miravistallc.com/recent_services.php.

      Two-day intermediate course on seating and mobility presented by Freedom Designs. The seminar is well suited, but not limited to, physical therapists, occupational therapists and equipment suppliers who service the neurologically and/or orthopedically involved client. There is a pediatric focus. The course developer and presenter is Karen "Missy" Ball, MT, PT, ATP. Hours: 8 a.m. to 5 p.m. on Wednesday and 8 a.m. to 3:30 p.m. on Thursday. White Plains, N.Y. FMI and to register, visit www.freedomdesigns.com.

      Sacramento, Calif., 8 a.m. to 4:30 p.m. Presented by Peggy Walker. Billing and Reimbursement Road Show is a hands-on workshop that takes you through the Medicare billing process from start to finish. We will discuss basic billing rules for all DME, as well as how to work through a denied claim. We will review the effective use of ABNs, how to bill for repairs, and the proper documentation requirements for Mobility Assist Equipment. Fraud and abuse issues and current medical policy updates will be addressed. For more info:
      http://www.vgmeducation.com/TravelDetails.asp?ID=295

      St. Louis. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Louisville, Ky. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Columbus, Ohio. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Cincinnati, Ohio
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp


      August 2009
      Andrea Stark will discuss detailed coverage requirements, documentation requirements and billing procedures for 15 DMEPOS products, including respiratory (Oxygen, CPAPS, Bi-Levels), Mobility (wheelchair, accessories, seat lifts) and diabetic supplies.
      For more info:
      http://www.miravistallc.com/recent_services.php.

      Pittsburgh. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Two-day intermediate course on seating and mobility presented by Freedom Designs. The seminar is well suited, but not limited to, physical therapists, occupational therapists and equipment suppliers who service the neurologically and/or orthopedically involved client. There is a pediatric focus. The course developer and presenter is Karen "Missy" Ball, MT, PT, ATP. Hours: 8 a.m. to 5 p.m. on Wednesday and 8 a.m. to 3:30 p.m. on Thursday. Nashville, Tenn. FMI and to register, visit www.freedomdesigns.com.

      Albany, N.Y., 8 a.m. to 4:30 p.m. The success of your business depends capturing new referrals and billing and collecting for those services quickly and accurately.  On August 6, VGM Education is offering training in these critical areas of your business in one location!  Sales Training University and Billing and Reimbursement Road Show are events that you cannot afford to miss. For more info:
      For more info: http://www.vgmeducation.com/TravelDetails.asp?ID=295

      Richmond, Va. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Cleveland, Ohio
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      Atlantic City, N.J. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Call 1-602-273-7373. Reservations must be made with Phoenix Airport Marriott by July 24.

      Syracuse, N.Y. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Riverside, Calif.
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      Boston. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Kansas City, Mo.
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      Pittsburgh, Pa.
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      Orlando, Fla.
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      During this webinar, Andrea Stark will review what happened with the first round of bidding and what to expect with this new round.
      For more info:
      http://www.miravistallc.com/recent_services.php


      September 2009
      Miami, Fla.
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      Charlotte, N.C.
      VGM's Mark Higley, Alan Morris and John Gallagher will be prepared to discuss all aspects of the revamped competitive bidding program (Round 1.2) in detail, as well as field your questions and provide you with the bidding tools for success.
      For more info, visit http://www.vgmncbservices.com/education.asp

      In an attempt to crack-down on DMEPOS fraud, CMS is imposing some strict regulations that all providers must follow. During this webinar, Andrea Stark will cover: Red Flag Rules, RACs, the PECOS Database & Signature Requirement, Accreditation and the Surety Bond requirement.
      For more info:
      http://www.miravistallc.com/recent_services.php.

      Wilkes-Barre, Pa. FMI, www.prideprovider.com, 800-800-8586 ext. 1398

      Ernest M. Morial Convention Center, New Orleans. FMI, www.ncpanet.org.


      October 2009
      Two-day intermediate course on seating and mobility presented by Freedom Designs. The seminar is well suited, but not limited to, physical therapists, occupational therapists and equipment suppliers who service the neurologically and/or orthopedically involved client. There is a pediatric focus. The course developer and presenter is Karen "Missy" Ball, MT, PT, ATP. Hours: 8 a.m. to 5 p.m. on Wednesday and 8 a.m. to 3:30 p.m. on Thursday. Paducah, Ohio. FMI and to register, visit www.freedomdesigns.com.

      Andrea Stark will address the latest Oxygen clarifications and regulations released from CMS, including: maintenance reimbursements, billing for contents and labor, and regulations for patients traveling with oxygen.
      For more info:
      http://www.miravistallc.com/recent_services.php.

      Two-day intermediate course on seating and mobility presented by Freedom Designs. The seminar is well suited, but not limited to, physical therapists, occupational therapists and equipment suppliers who service the neurologically and/or orthopedically involved client. There is a pediatric focus. The course developer and presenter is Karen "Missy" Ball, MT, PT, ATP. Hours: 8 a.m. to 5 p.m. on Wednesday and 8 a.m. to 3:30 p.m. on Thursday. San Antonio, Texas. FMI and to register, visit www.freedomdesigns.com.


      November 2009
      Two-day intermediate course on seating and mobility presented by Freedom Designs. The seminar is well suited, but not limited to, physical therapists, occupational therapists and equipment suppliers who service the neurologically and/or orthopedically involved client. There is a pediatric focus. The course developer and presenter is Karen "Missy" Ball, MT, PT, ATP. Hours: 8 a.m. to 5 p.m. on Wednesday and 8 a.m. to 3:30 p.m. on Thursday. Norfolk, Va. FMI and to register, visit www.freedomdesigns.com.


      December 2009
      Two-day intermediate course on seating and mobility presented by Freedom Designs. The seminar is well suited, but not limited to, physical therapists, occupational therapists and equipment suppliers who service the neurologically and/or orthopedically involved client. There is a pediatric focus. The course developer and presenter is Karen "Missy" Ball, MT, PT, ATP. Hours: 8 a.m. to 5 p.m. on Wednesday and 8 a.m. to 3:30 p.m. on Thursday. Tampa, Fla. FMI and to register, visit www.freedomdesigns.com.

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