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Medicare trustees expect Part B costs to grow steadily

by: 
HME News Staff
  - 
04/23/2019
  | 
General News

WASHINGTON – Projected costs for the Supplementary Medical Insurance (SMI) Trust Fund, which funds Medicare Part B and D, are expected to grow steadily from 2.1% of GDP in 2018 to about 3.7% GDP in 2038, according to the 2019 Medicare Trustees Report.

CMS bulks up PA program

Agency also adds four codes to ‘Master List’
 by: 
HME News Staff
  - 
04/19/2019
  | 
General News

WASHINGTON – CMS has added seven codes for complex rehab power mobility devices and five codes for support surfaces to the national prior authorization program, AAHomecare reports.
The agency will roll the PMD codes into the program within 90 days, or July 21 by the association’s estimates.

In brief: Stakeholders launch bid website, Simply Home sues HHS

by: 
HME News Staff
  - 
04/19/2019
  | 
General News

WASHINGTON – A group of HME industry stakeholders has officially launched dmecbpeducation.com, a website for providers to learn about the changes in Round 2021 of competitive bidding and to prepare their bids.

Stakeholders launch bid website

by: 
HME News Staff
  - 
04/18/2019
  | 
General News

WASHINGTON – A group of HME industry stakeholders has officially launched dmecbpeducation.com, a website for providers to learn about the changes in Round 2021 of competitive bidding and to prepare their bids.

Industry knew feds would bust ‘obvious’ fraud

‘It’s a clear kickback, black and white’
 by: 
Liz Beaulieu
  - 
04/12/2019
  | 
General News

WASHINGTON – HME industry stakeholders aren’t surprised by a $1.2 billion fraud scheme involving medically unnecessary braces and they’re glad to see “bad actors” punished.

Pay attention to bid calculators, say poll respondents

by: 
Liz Beaulieu
  - 
04/12/2019
  | 
General News

YARMOUTH, Maine – Nearly 80% of the respondents to a recent HME Newspoll say they have used or plan to use new bid calculators developed by industry stakeholders to help them formulate their bids for Round 2021.

Medicaid: Expect more scrutiny

Several factors are contributing to an uptick in audits, say consultants
 by: 
Theresa Flaherty
  - 
04/12/2019
  | 
General News

YARMOUTH, Maine – With the Office of Inspector General and other government agencies regularly issuing reports on Medicaid overpayment issues, it’s no surprise that audits are increasing, says Kelly Grahovac.

In brief: Brightree expands resupply solution, Numotion to distribute eye technology

by: 
HME News Staff
  - 
04/12/2019
  | 
General News

ATLANTA – Brightree has expanded Brightree ReSupply to support categories other than sleep therapy.

Feds bust $1.2B brace fraud scheme

by: 
HME News Staff
  - 
04/10/2019
  | 
General News

WASHINGTON – The federal government has charged 24 defendants, including executives at five telemedicine companies, the owners of dozens of DME companies and three licensed medical professionals, for their roles in a healthcare fraud scheme that resulted in $1.2 billion i

MCO bill becomes law in Kentucky

by: 
HME News Staff
  - 
04/05/2019
  | 
General News

FRANKFORT, Ky. – Kentucky Gov. Matt Bevin has signed into law a bill that streamlines DME regulations and reimbursement policy for the managed care organizations managing the state’s Medicaid program.

The bill ensures that MCOs:

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