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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.

MESA asks: Can providers get offset to respond to audits, too?


ORLANDO, Fla. – The Medical Equipment Suppliers Association (MESA) has heard back from CMS about why DME providers, unlike hospitals, aren’t reimbursed for the costs of providing copies of records to respond to audits.

Special forum to address prior authorization expansion


WASHINGTON – CMS will host a Special Open Door Forum on June 17 to discuss its plans to expand prior authorizations for PMDs to 12 additional states and to implement prior authorizations for certain DME nationwide.

CMS: PMD spending continues downward slide


WASHINGTON – Spending on power mobility devices (PMDs) continues to fall nationwide since the September 2012 launch of a demo requiring prior authorizations in seven states, CMS says.

OIG report finds jump in redeterminations


WASHINGTON – Medicare contractors processed 2.9 million redeterminations in 2012, an increase of 33% since 2008, according to the Office of Inspector General (OIG) semi-annual report to Congress.

What age group has lowest rate of growth in personal health care spending?


WASHINGTON – Average annual growth in per capita personal healthcare spending for the elderly was 4.1% from 2002 to 2010, the lowest among any other age groups studied, according to a report by the CMS Office of the Actuary relea

Jonathan Blum: A man you wouldn’t want to play poker with

Tuesday, April 22, 2014

All the buzz on the Hill today: Jonathan Blum is leaving his post as director and principal deputy administrator of CMS.