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Face-to-face rule: Clarifications provide ‘breathing room’

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09/19/2014

WASHINGTON – Recent clarifications from CMS and its contractors have loosened the noose that is the face-to-face rule, industry stakeholders say.

Special report: HME industry forges a new identity

Sneak peak at October issue
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09/19/2014

YARMOUTH, Maine – In an industry that has become accustomed to incremental changes through the years, external forces are now combining to greatly accelerate the shift away from the old fee-for-service (FFS) Medicare system to a value-based payment model that p

In brief: Bills get bump, CMS touts MA plans

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09/19/2014

WASHINGTON – A legislative fly-in on Sept. 10 spearheaded by The MED Group and supported by AAHomecare resulted in 100 meetings with lawmakers.

CMS touts popularity, value of MA plans

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09/19/2014

WASHINGTON – Enrollment in Medicare Advantage (MA) plans in 2015 is projected to increase to a new all-time high, CMS announced Sept. 18.

Premiums are expected to remain affordable, as well, the agency says.

CMS releases performance results for ACOs

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09/19/2014

WASHINGTON – Accountable care organizations (ACOs) in the Pioneer ACO Model and Medicare Shared Savings Program generated more than $372 million in savings in their second and first years, respectively, CMS reported Sept. 16.

Bills get bump from fly-in

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09/16/2014

WASHINGTON – A legislative fly-in on Sept. 10 spearheaded by The MED Group and supported by AAHomecare resulted in 100 meetings with lawmakers.

Providers on denied claims: ‘We’ll fight to the end’

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09/12/2014

YARMOUTH, Maine – A defiant 60% of the respondents to last week’s HME NewsPoll say they wouldn’t take up CMS on an offer to settle pending appeals in exchange for partial payment.

Heard at the Summit: Branch out and mind your data

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09/12/2014

MINNEAPOLIS – With the explosion of interest in post-acute care, it’s time for HME providers to get off the sidelines, said the speakers at last week’s HME News Business Summit.

Reporter’s notebook: Loyal customers, the ABN and creativity

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09/12/2014

YARMOUTH, Maine – Suppose you were an HME provider supplying a Medicare beneficiary with oxygen therapy through a competitive bidding contract.

In brief: CMS responds to AAH, complex rehab bill adds sponsors

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09/12/2014

WASHINGTON – Contractors conducting pre-pay audits and prior authorizations are required to load that information into the RAC Data Warehouse, CMS has said in response to an AAHomecare inquiry.

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