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In brief: Study finds DME saves money, Tricare agrees with rollback


WATERLOO, Iowa – Upfront spending on durable medical equipment saves Medicare money in the long run, according to an updated study conducted by Leitten Consulting for The VGM Group.

Tricare contractor agrees that rollback provision applies


WASHINGTON – Health Net Federal Services, the Tricare contractor for the north region, agrees that a provision in the 21st Century Cures Act impacts its payments for home medical equipment, according to AAHomecare.

AAHomecare to Tricare: Reprocess claims


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.

Stakeholders ready case for other payers to follow Medicare


WASHINGTON – Industry stakeholders are looking into whether or not other payers should have to follow Medicare’s lead and retroactively delay reimbursement cuts that went into effect in rural areas on July 1.

Trickle-down effect: Tricare rates nosedive

‘We hope this will wake some people up,’ AAH’s Williard says

YARMOUTH, Maine – HME providers were caught off-guard when Tricare, the healthcare program for uniformed services members and their families, began ratcheting down its reimbursement rates to below Medicare’s new reduced rates.

Tricare implements new breast pump policy


FALLS CHURCH, Va. – Service members and their spouses will be able to receive free breastfeeding supplies, lactation services, and any manual, electric or hospital grade breast pump under a new policy.

Government announces $12M Medicare fraud settlement


NEW ORLEANS – Robert Shea and Mark Franz, owners of a pair of Kansas-based diabetic supply companies, will pay the government $7 million to settle allegations of fraud, U.S. Attorney Kenneth Allen Polite, Jr., announced Oct. 22.

American Sleep Medicine settles fraud allegations


WASHINGTON – American Sleep Medicine, based in Jacksonville, Fla., has agreed to pay $15.3 million to resolve allegations that it improperly billed Medicare and two other organizations for sleep diagnostic services that were not eligible for payment, according to a press