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Stakeholders home in on Medicaid strategy

‘The states are going to get less money and the big question now is, how are they going to deal with that?’
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01/20/2017

WASHINTON – A directive from Congress to tie Medicaid reimbursement to Medicare reimbursement will be a tough pill to swallow for not only HME providers but also states, industry stakeholders say.

In brief: CMS greenlights CGMs for coverage, Bain Capital makes bolt-on acquisition in pediatric market

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01/20/2017

WASHINGTON – CMS classified “therapeutic” continuous glucose monitoring systems as durable medical equipment in a Jan. 12 ruling.

New data submission period opens for Audit Key

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01/19/2017

WASHINGTON – The HME Audit Key is now open for submitting data for the fourth quarter of 2016, according to AAHomecare. The association launched the HME Audit Key in 2014 to track audit activity and present findings to lawmakers. AAHomecare recently took steps to increase participation in the Audit Key, including partnering with Brightree to begin beta testing a report that would give providers many of the answers to the toughest questions in the survey.

Work group expands focus on Medicaid issues

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01/12/2017

WASHINGTON – AAHomecare’s State Leaders Council has formed a work group to explore ways to address competitive bid pricing for Medicaid.

AAH resolves to increase participation in HME Audit Key

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01/06/2017

WASHINGTON – AAHomecare is taking steps to make participation in its HME Audit Key survey easier in 2017.

AAHomecare forms tech workgroup

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01/05/2017

WASHINGTON – AAHomecare has formed a Hi Tech Work Group to explore new technology and payment models.

Rural rates for oxygen dip below bid rates

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12/23/2016

WASHINGTON – Industry stakeholders are trying to figure out why the recently released 2017 DMEPOS fee schedule appears to apply a “double dip” cut to rural rates for oxygen concentrators, lowering them to below competitive bidding rates.

In brief: AAH finds big decreases in 2017 fee schedule, Quantum sponsors seat elevation study

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12/23/2016

WASHINGTON – There will be an average decrease in reimbursement of 36.8% in 2017 for the top 25 HCPCS codes for HME, according to a new analysis by AAHomecare of the new reimbursement compared to 2016 and 2015 reimbursement.

AAH finds big decreases in 2017 fee schedule

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12/22/2016

WASHINGTON – There will be an average decrease in reimbursement of 36.8% in 2017 for the top 25 HCPCS codes for HME, according to a new

Stakeholders ready case for other payers to follow Medicare

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12/16/2016

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.

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