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Tag: Nebulizer


Also Noted

OIG: Lincare mostly complied with neb-med policies

December 21, 2017HME News Staff

CLEARWATER, Fla. - Lincare Pharmacy Services generally complied with Medicare requirements when billing for inhalation drugs, according to a new report from the Office of Inspector General. Of 100 claim lines sampled, three did not comply because the beneficiaries medical records did not support medical necessity, resulting in $48 in overpayments. The OIG recommends that Lincare ensure that medical necessity is adequately supported in medical records before billing Medicare. Lincare concurred.

Lincare, Nebulizer


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Also Noted

DirectRx wins bid contract for nebulizers

October 25, 2016HME News Staff

TROY, Mich. - DirectRx Pharmacy, an independent pharmacy, says it has won a competitive bidding contract for nebulizers and related supplies as part of Round 1 2017. Under the contract, which runs from Jan. 1, 2017, through Dec. 31, 2018, DirectRx will supply nebulizers and supplies to Medicare beneficiaries in Kansas City, and in Dearborn, Franklin, Ohio and Union counties in Indiana. “DirectRx is proud to be awarded this contract so that we can further our vision of helping patients with...

Competitive Bidding, DirectRx Pharmacy, Nebulizer, Round 1 2017


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News

In brief: Gov't delays hearings, Cardinal highlights AssuraMed

November 1, 2013HME News Staff

WASHINGTON - The Office of Medicare Hearings and Appeals (OMHA) will defer assignments for hearings—possibly up to 28 months, according to a recent notice. Requests for hearings received after July 15, 2013, will be entered into the agency's case processing system and held until there is room on an Administrative Law Judge's (ALJ) docket for adjudication. When a request is assigned, a notice will be sent, according to the notice. The ALJs have been backlogged for more than a year,...

AAHomecare, AssuraMed, Cardinal Health, CareTouch, CMS, Convaid, CPAP, Eternity Healthcare, GMEA, Medicare, National Government Services (NGS), Nebulizer, Nonin Medical, Numotion, Office of Inspector General (OIG), Ottobock, Preston Pharmacy and Home Medical, Pride Mobility Products, Quantum Rehab, somnetics, The Scooter Store, theravent


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Specialty Providers

ASP: Winners, losers, audits

October 25, 2013Theresa Flaherty, Managing Editor

BALTIMORE - With few exceptions, the average sales price (ASP) figures for nebulizer medications don't change much from quarter to quarter. That doesn't mean the market is stagnant, says Wayne Vega, senior vice president of the Inhalation Drug Group. He recently offered HME News his take on the fourth quarter numbers—and the market. Winners Budesonide (J7626) increased 85 cents, to $5.95 per dose. The entry of another generic version of the drug into the market earlier this year...

Average Sales Price (ASP), Budesonide, Nebulizer


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News

In brief: Seven more sign on, ResMed takes new action

July 26, 2013HME News Staff

WASHINGTON - In the wake of the industry's recent virtual fly-in, H.R. 1717 has picked up an additional seven co-sponsors, bringing the current total to 144. The bill, which was introduced April 24 by Rep. Tom Price, R-Ga., would repeal the competitive bidding program and replace it with a market-pricing program (MPP). “Shoring up that support is important,” said Cara Bachenheimer, senior vice president of government relations for Invacare. “Feeding lawmakers information about the...

H.R. 1717, Nebulizer, Overpayments


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Also Noted

NSG to review nebulizers

July 24, 2013HME News Staff

WASHINGTON - National Government Services (NSG), the Jurisdiction B DME MAC, will initiate a widespread prepayment review of nebulizers (E0570), related drugs, accessories and dispensing fees, it announced in a recent message. Providers that receive an additional documentation request should provide, within 45 days, the following: a copy of a signed and dated detailed written order; a copy of the dispensing order, if applicable; a copy of medical records supporting medical necessity; and proof of...

Nebulizer


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Vendors

IDG offers Ritedose of help

May 7, 2013Liz Beaulieu, Editor

SOMERVILLE, N.J. - It's not easy being a smaller provider of nebulizer medications in the world of “Big Pharma.” That's why Inhalation Drug Group (IDG), a group purchasing organization, has rolled out a program targeting these smaller providers, giving them access to volume discount pricing, extended terms and sampling programs. “We're reaching out to the smaller end, because they're almost the more important players,” said Wayne Vega, senior executive...

Group purchasing, Home Medical Equipment (HME), Nebulizer


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Specialty Providers

In brief: Few changes in new ASP figures

October 24, 2012HME News Staff

BALTIMORE - The new average sales price (ASP) figures for nebulizer medications released in September brought few changes. Albuterol (J7613) was down 2 cents to 13 cents per dose, while budesonide (J7626) was down nearly 11 cents to about $4.87 per dose. Levalbuterol (J7614) and ipratropium (J7644) stayed flat at 65 cents and just under 13 cents per dose, respectively. Brovana (J7605) was down almost 14 cents per dose to $5.22, and Perforomist (J7606) was up just more than 12 cents per dose to $5.21. ADW...

Diabetes, Mail-Order, Nebulizer, Pharmacy


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News

In brief: Audit oversight, ABN guidance, 10,000 letters

June 15, 2012HME News Staff

WASHINGTON - Members of the House Energy and Commerce Oversight Subcommittee cast serious doubt on CMS's ability to manage its audit contractors at a hearing June 7. As proof, Chairman Rep. Cliff Stearns, R-Fla., pointed out that CMS sent the subcommittee incorrect ZPIC performance data, according to AAHomecare officials, who attended the hearing. Stearns said the error “confirms CMS's utter incompetence in conducting any meaningful oversight of these contractors.” Other members...

Home health depot, Home Medical Equipment (HME), Medtrade, Nebulizer, Quantum Rehab


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Specialty Providers

Budesonide: Competing generics on the horizon

January 22, 2012Theresa Flaherty, Managing Editor

BALTIMORE - The needle barely moved on the average sales price (ASP) figures for nebulizer medications, according to the latest figures, released in December. The only neb-med to show any significant change was budesonide (J7626), which rose 23.8 cents to $4.63 per dose. While an increase is always welcome, there's still not a lot of margin on the drug, says provider Sam Jarzcynski, who stocked up in advance of an October price increase. "We were able to buy enough to get us through,"...

Budesonide, Nebulizer


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