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Hospital group taps former CMS administrator as new leader


WASHINGTON – The board of directors of America’s Health Insurance Plans has elected Marilyn Tavenner, the former administrator of CMS, as its president and CEO.

Obama makes his pick for CMS administrator


WASHINGTON – President Barack Obama on Thursday nominated Andrew Slavitt as CMS administrator, according to news reports.

Slavitt has been acting administrator for CMS since Marilyn Tavenner stepped down in February.

CMS rethinks miscellaneous DME codes


WASHINGTON – CMS is proposing new codes for miscellaneous DME to reflect more accurate payment of Medicare claims.

Hospitals take up CMS on offer

Will HME providers get their chance?

WASHINGTON – Recent settlements of pending appealed claims between CMS and hospitals have given stakeholders hope that a settlement with HME providers is also possible.

CMS considers eliminating CMNs, DIFs


BALTIMORE – CMS will host a Special Open Door Forum call May 27 to discuss eliminating CMNs and durable medical equipment identification forms.

CMS: Audits, authorizations must be added to data warehouse


WASHINGTON – Contractors conducting pre-pay audits and prior authorizations are required to load that information into the RAC Data Warehouse, CMS has said in response to an AAHomecare inquiry.

AAH comments highlight NPWT code confusion


WASHINGTON – Commenting on code changes in CMS’s proposed CY 2015 Hospital Outpatient Prospective Payment System, AAHomecare says there is significant confusion among providers about the use of G0456 and G0457 with mechanical and electrical disposable NWPT devices.

AAH to CMS: ‘Withdraw proposed rule’


WASHINGTON – CMS should scrap its plans to expand competitive bidding nationwide and to implement bundled payments, AAHomecare stated in comments submitted to the agency on Sept. 2.

CMS clarifies payments for wheelchair accessories


WASHINGTON – CMS has published a change request (8864) that instructs contractors to update systems allowing payment for wheelchair accessories when provided for use with non-competitively bid wheelchair base units after the end date of the certificate of medical necessity and when the modifier “KY” is present.

Audits: GAO weighs in on duplicative reviews


WASHINGTON – The Government Accountability Office (GAO) is calling on CMS to improve the efficiency and effectiveness of its post-payment review efforts by providing contractors with additional guidance and more oversight.