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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.

HHS releases physician pay data


WASHINGTON – The Department of Health and Human Services has released data on the services physicians provide to Medicare beneficiaries and how much they are paid.

CMS targets 12 new states for PMD demo


WASHINGTON – The PMD demo is about to get bigger.

CMS issues face-to-face reminder to docs


BALTIMORE – CMS has released a “Dear Physician” letter reminding doctors they must conduct face-to-face examinations within six months of ordering certain DME items prescribed on or after July 1, 2013.

WOPD: Stakeholders still seek clarification on key issues


BALTIMORE – CMS began enforcing the written order prior to delivery (WOPD) requirement on Jan. 1, and providers, for the most part, say they’re on top if it.