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Cures Act

CGS begins payment adjustments

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05/10/2017

WASHINGTON – CGS will begin adjusting tens of thousands of claims from non-competitive bidding areas each day for about the next 24 weeks, the DME MAC for Jurisdictions B and C announced May 8.

CMS does ‘whatever it wants,’ say frustrated stakeholders

Adjusted fee schedule not what Congress intended, they say
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05/05/2017

WASHINGTON – While there is “no question” that Congress intended for CMS to reset rural and non-bid area rates for the second half of 2016 to match those of the first half of the year, the agency’s decision not to was, technically, legal, say industry stakeholders.

CMS updates fee schedule, AAH pledges to push back

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05/03/2017

WASHINGTON – CMS has delivered “a slap in the face” to the HME industry with its updated fee schedule for rural and non-competitive bidding areas, AAHomecare says.

Cures Act update: Could bill in Minnesota serve as template for relief?

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04/03/2017

ST. PAUL, Minn. – Minnesota could be the first state to introduce legislation to stave off a “pay for” in the 21st Century Cures Act that limits the federal portion of Medicaid reimbursement for DME to competitive bidding-influenced Medicare reimbursement starting Jan.

CMS solicits input on future reimbursement for non-bid areas

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03/07/2017

WASHINGTON – CMS has scheduled a call to solicit stakeholder input on its methodology for using information from the competitive bidding program for adjusting Medicare fee schedule amounts in non-bid areas.

Senators in Minnesota seek to soften blow of upcoming Medicaid cut

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02/28/2017

SAINT PAUL, Minn. – Two senators in the Minnesota state legislature have introduced a bill to address a provision in the 21st Century Cures Act that would limit the federal portion of Medicaid reimbursement for HME to competitive bidding-influenced Medicare reimbursement starting in 2018.

AAHomecare to Tricare: Reprocess claims

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01/31/2017

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.

Option Care leads Keep My Infusion Care at Home

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01/24/2017

BANNOCKBURN, Ill. – Option Care and other leading home infusion providers, as well as the National Home Infusion Association, have formed a coalition to advocate for Medicare patients who are losing access to their treatment.

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.

CMS offers guidance on billing for complex rehab accessories

Guidance on rural rates still in the works
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12/27/2016

WASHINGTON – CMS has updated the DME Center page of its website with information on how it plans to implement certain provisions in the recently passed 21st Century Cures Act.

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