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reimbursement

Update: Custom seats, backs under review, NCART says

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04/25/2017

WASHINGTON – The medical directors at jurisdictions B and C have agreed to do an “immediate review” of payments for custom seats (E2609) and custom backs (E2617), following their decision to change payments from individually priced to flat allowable, according to NCART.

Cures Act update: Could bill in Minnesota serve as template for relief?

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04/03/2017

ST. PAUL, Minn. – Minnesota could be the first state to introduce legislation to stave off a “pay for” in the 21st Century Cures Act that limits the federal portion of Medicaid reimbursement for DME to competitive bidding-influenced Medicare reimbursement starting Jan.

CMS solicits input on future reimbursement for non-bid areas

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03/07/2017

WASHINGTON – CMS has scheduled a call to solicit stakeholder input on its methodology for using information from the competitive bidding program for adjusting Medicare fee schedule amounts in non-bid areas.

Slow but steady: Industry convinces other payers to delay cuts

‘As soon as the Medicare fee schedule is updated, it will be easier’
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03/03/2017

WASHINGTON – The industry’s attempts to get other payers to honor a retroactive delay to Medicare reimbursement cuts are starting to pay off.

AAH appeals to Price to freeze rates

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03/02/2017

WASHINGTON – AAHomecare has asked newly minted Health and Human Service Secretary Tom Price to issue an interim final rule to repeal the fully adjusted Medicare rates that originally went into effect in non-competitive bidding areas on July 1, 2016.

AAHomecare to Tricare: Reprocess claims

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01/31/2017

WASHINGTON – AAHomecare is calling on the contractors administering Tricare military health plans nationwide to reprocess claims for HME for the last six months of 2016.

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.

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