Tag: AAHomcare

WASHINGTON – Rates in former competitive bidding areas should be based on a 90/10 blended payment formula, AAHomecare argues in its comments to CMS’s recent DMEPOS Proposed Rule.  “The 90% should be based on the current payment rates in former CBAs, and the 10% should be based on the 2015 unadjusted fee schedule,” the association says.  Non-rural, non-CBAs should be based on a 75/25 blended payment formula, with the 75% based on the current rates...

ATLANTA - Wendy Russalesi, chief compliance officer for AdaptHealth, has been named 2019 Woman of the Year.Russalesi, who has worked in the HME industry for more than 20 years, received the VGM-sponsored award before the AAHomecare Washington Update on Tuesday morning.Russalesi plays an integral role in the strategic direction, implementation and oversight of AdaptHealth's corporate compliance programs and ensures the provider meets compliance requirements on the local, state and federal level. AdaptHealth,...

WASHINGTON - Tricare, the healthcare program for uniformed services members and their families, will also adjust payments from June through December 2016 per a provision in the 21st Century Cures Act, according to AAHomecare.The provision in the Cures Act requires Medicare to retroactively delay a second round of reimbursement cuts in non-bid areas from July 1, 2016, to Jan. 1, 2017, allowing providers to recoup a portion of six months worth of payments.In a letter responding to HME providers...

WASHINGTON - With legislation to modify the national rollout of competitive bidding in the works, industry stakeholders are setting the stage for a full court press.But there's only so much they can do until they have a “score” from the Congressional Budget Office, they say.“We'll begin a full grassroots push, which we've lined up,” said Tom Ryan, president and CEO of AAHomecare. “We can work the committees and we can work the grassroots angle, but we've got to get a...