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Tag: Budget Neutrality


New rates fuel ‘engine’ of HME industry

Providers

New rates fuel ‘engine’ of HME industry

April 8, 2021Theresa Flaherty, Managing Editor

YARMOUTH, Maine – An increase in oxygen reimbursement is a shot in the arm for the HME industry, say providers. CMS in March released an updated fee schedule for oxygen that will result in an increase in fee schedule amounts ranging from $6.72 to $8.19 in former competitive bidding areas; $5.17 to $5.43 in other non-rural areas; and $4.14 to $6.82 in non-contiguous and rural areas, according to the VGM Group. “This is a big thing for our industry, and it needs to be celebrated,”...

BritKare, Budget Neutrality, Home Oxygen Equipment, Josh Britten


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In brief: Oxygen adjustment, in-person visits, PromptCare sale, Glooko’s raise 

March 19, 2021HME News Staff

WASHINGTON – CMS has published an adjusted fee schedule for oxygen therapy for April 2021 that no longer includes a percentage reduction to meet the budget neutrality requirement.  The adjustments result in an increase in fee schedule amounts ranging from $6.72 to $8.19 in former competitive bidding areas; $5.17 to $5.43 in other non-rural areas; and $4.14 to $6.82 in non-contiguous and rural areas, according to the VGM Group.  The fee schedule amounts are not retroactive...

Budget Neutrality, face-to-face, Glooko, M&A, oxygen reimbursement, PromptCare


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CMS adjusts oxygen rates

March 18, 2021HME News Staff

WASHINGTON – CMS has published an adjusted fee schedule for oxygen therapy for April 2021 that doesn’t include a percentage reduction to meet the budget neutrality requirement. The adjustments result in an increase in fee schedule amounts ranging from $6.72 to $8.19 in former competitive bidding areas; $5.17 to $5.43 in other non-rural areas; and $4.14 to $6.82 in non-contiguous and rural areas, according to the VGM Group. The fee schedule amounts are not retroactive –...

Budget Neutrality, CMS, Medicare fee schedule, Oxygen


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COVID-19 relief passes with oxygen, sequester relief 

December 21, 2020HME News Staff

WASHINGTON – A COVID-19 relief package passed by the U.S. House of Representatives and Senate removes the budget neutrality requirement for oxygen products in rural areas, AAHomecare reports.  “We’re gratified to see that Congress has finally fixed the oxygen budget neutrality issue unfairly impacting rural suppliers,” said Tom Ryan, AAHomecare president and CEO.  “HME stakeholders have been asking...

Budget Neutrality, COVID-19 relief package, sequester cuts


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Oxygen bill 'ready and waiting'

September 11, 2020Liz Beaulieu, Editor

WASHINGTON - The Energy and Commerce Committee in the House of Representatives is now on the hunt for a vehicle for H.R. 8158, a bill that would eliminate the budget neutrality requirement for home oxygen therapy. Industry stakeholders say it's unlikely the bill will be attached to a continuing resolution that must be passed by Sept. 30, because Congress wants a “clean CR,” but there are other options, including possibly another COVID bill and a Medicare extenders package. “This...

Budget Neutrality, Oxygen


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Budget neutrality dampens certain oxygen reimbursement

December 19, 2018HME News Staff

WASHINGTON - Reimbursement rates for stationary and portable oxygen concentrators fare quite differently in the 2019 fee schedule, according to an analysis by AAHomecare.The rural rate for stationary concentrators (E1390) will increase 10.9%, from $121.46 to $134.71, and the average regional rate will increase 4.4% from $69.31 to $72.32.The rural rate for POCs (E1392) will decrease 5.2% from $46.77 to $44.32, and the average regional rate will decrease 6.5%, from $38.10 to $35.64.Rates for portable...

aahomecare, Budget Neutrality, Home Oxygen, POCs


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