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reimbursement

In brief: AAH finds big decreases in 2017 fee schedule, Quantum sponsors seat elevation study

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12/23/2016

WASHINGTON – There will be an average decrease in reimbursement of 36.8% in 2017 for the top 25 HCPCS codes for HME, according to a new analysis by AAHomecare of the new reimbursement compared to 2016 and 2015 reimbursement.

Quantum Rehab sponsors seat elevation study

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12/22/2016

EXETER, Pa. – Quantum Rehab is sponsoring a Georgia Tech study examining how power adjustable seat height can affect the everyday lives of wheelchair users.

OIG details spike in vent billing

For E0464, Medicare paid 215,379 claims in 2015 vs. 2,258 claims in 2009, according to new report
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09/27/2016

WASHINGTON – Medicare paid 85 times more claims for noninvasive ventilators in 2015 than it did in 2009, says a new report from the Office of Inspector General.

NHIA responds to OIG report on infusion payments

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09/16/2016

ALEXANDRIA, Va. – A recent Office of Inspector General report on payment for Part B DME infusion drugs is far too narrow to be the basis for new policy, according to the National Home Infusion Association.

Vent reform now has support in both House, Senate

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09/16/2016

WASHINGTON – The House of Representatives has followed the Senate and introduced a bill this week that would increase Medicare reimbursement for ventilators by 20% on Jan.

NCART shows and tells for lawmakers

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04/01/2016

WASHINGTON – NCART is holding a “CRT briefing and Product Expo” on Capitol Hill April 21 to educate lawmakers about complex rehab and get their support for current legislation.

Stakeholders push for payment freeze

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01/28/2016

WASHINGTON – Industry stakeholders are shifting gears in their fight against Medicare’s competitive bidding program.

DME is what we use, HME services is what we do

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Thursday, January 7, 2016
George Kucka
George Kucka is president and CEO of Fairmeadows Home Health Care.

Historically, items like hospital beds, oxygen tanks and concentrators, wheelchairs, commodes, ambulatory aids, compressors and other items that could be used to support a medical need on an ongoing basis were referred to as DME. This is clearly an accurate, but one-dimensional definition.

CMS shortens Round 1 contracts

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08/14/2015

BALTIMORE – CMS announced the timeline for Round 1 2017 last week, with one noticeable difference from previous rounds: The contract period is two years instead of three.

NHIA schedules fly-in

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12/30/2014

ALEXANDRIA, Va. – The National Home Infusion Association (NHIA) encourages its members to fly into Washington, D.C., in February to meet with lawmakers to talk up efforts to require Medicare to pay for home infusion services and related supplies under Part B.

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