As a small business owner in the DME industry, I for one think it is about time CMS and Congress recognize the enormous disparity between mail order and non-mail order reimbursements (“Diabetes payments pushed off a cliff,” HME News, February 2013).
FLETCHER, N.C. – Marcus Suess won mail-order contracts for diabetes supplies in all nine competitive bidding areas in Round 1, but he says the jury’s still out on how well the program works—for providers and beneficiaries.
BALTIMORE – The new average sales price (ASP) figures for nebulizer medications released in September brought few changes. Albuterol (J7613) was down 2 cents to 13 cents per dose, while budesonide (J7626) was down nearly 11 cents to about $4.87 per dose.
YARMOUTH, Maine – There's no official timetable, but it's unlikely CMS will drag its feet on pushing forward with its plan to use inherent reasonableness (IR) to reduce reimbursement for retail diabetes supplies, industry stakeholders say.