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CMS eases resupply requirements, but questions remain

‘We are still going to attempt to obtain everything,’ says one provider

YARMOUTH, Maine – Recent revisions to the documentation requirements for CPAP resupplies are a “huge win,” but industry stakeholders want further clarification.

MACs remove ‘imminent death’ requirement for vents


WASHINGTON – Recent guidance from the DME MACs on coverage criteria for ventilators is a move in the right direction, say industry stakeholders.

Short takes: MiraVista, PMDRx


MiraVista, a consulting and outsourced billing company for DME providers, has redesigned its website to make its industry updates, and education events and tools front and center.

We have the answer to this $64 million question

Monday, February 2, 2015

Do you want to know what the regional pricing might look like under the national rollout of competitive bidding scheduled to take place Jan. 1, 2016?

Andrea Stark, a reimbursement consultant with MiraVista, can give you a pretty good idea.

CMS decision on Tennessee sets precedent


WASHINGTON – It was a big win in the HME industry’s fight against competitive bidding when CMS disqualified one-third of the contract suppliers for Tennessee, but that’s not the only state with licensure issues, stakeholders point out.

Lesser of two evils

Medicare Advantage: Positives outweigh negatives

YARMOUTH, Maine – Some Medicare Advantage (MA) plans are starting to look more and more like traditional Medicare, industry sources say.

Have ABNs become 'gray area'?


WASHINGTON – The proper use of advance beneficiary notices (ABNs) has shifted—and not in the HME provider’s favor, industry stakeholders say.

NSC extends enrollment period


WASHINGTON – The National Supplier Clearinghouse (NSC) has extended the window period for HME providers to determine whether or not they want to change their enrollment status with Medicare, according to a bulletin from AAHomecare.

Here's your warning: PECOS edits on way


BALTIMORE – CMS will kick off phase 2 of the Provider Enrollment, Chain, and Ownership System (PECOS) on May 1, it announced March. 1.