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Tag: Comments


Also Noted

AAH: seeks payer relations professional, submits comments

December 27, 2018HME News Staff

WASHINGTON - AAHomecare is looking to add to its payer relations team. The association is recruiting a director of payer relations to join Laura Williard, vice president of payer relations. “As enrollment in Medicaid programs and in Medicare Advantage plans continues to rise, AAHomecare and our state association partners have been working non-stop to maintain sustainable reimbursement rates and to educate state legislators, regulators and plan administrators on the value of HME to their constituents,”...

aahomecare, Comments, Payer Relations, templates, Vents


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Also Noted

VGM objects to bid program including vents, orthoses

December 11, 2018HME News Staff

WATERLOO, Iowa - With the complex care required for vent patients and with few suppliers serving the market, it's best to keep the product category out of Medicare's competitive bidding program, VGM says. In recently submitted comments to CMS, the company pointed out that: Vent patients are highly vulnerable and require care from highly skilled RTs, and can't be subject to delays in care or access issues. It also pointed out that the market for vents is small and niche, with fewer than 400 providers....

Comments, Competitive Bidding, Orthoses, Vents, VGM


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Specialty Providers

VGM provides talking points on vent proposal

November 20, 2018HME News Staff

WATERLOO, Iowa - The VGM Group has pulled together suggested talking points for providers who plan to comment on CMS's proposal to include vents in its next round of competitive bidding.“There are major concerns with life-sustaining equipment such as ventilators being restricted to contracted suppliers given the instability that the program has caused within the DMEPOS industry,” VGM stated in a bulletin.CMS has proposed adding the following codes to the program: E0465 (invasive), E0466...

Comments, Competitive Bidding, Vents, VGM


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News

Stakeholders now await final rule

September 13, 2018HME News Staff

WASHINGTON - A CMS proposed rule that, among other things, outlined changes to the competitive bidding program drew 514 comments by a Sept. 10 deadline.“This is an incredible leap from last week, when we reported 216 submissions,” VGM stated in a bulletin. “These comments are crucial to demonstrating the need for additional relief for the non-rural areas among the other areas where CMS fell short in their proposals.”The comments, which are public, can be read here.In addition...

Bid Reform, Comments, VGM


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News

AAH responds to recent proposed rule

August 21, 2018HME News Staff

WASHINGTON - AAHomecare argues that CMS should pay HME providers in competitive bidding areas a higher rate during an upcoming “gap period” in the program, according to comments submitted by the association this week in response to a recent proposed rule.AAHomecare recommends that CMS establish rates in the former CBAs at the current SPA rates but provide an increase to those rates by all the CPI-U increases from 2013 through 2018.“AAHomecare has serious concerns about the agency's...

aahomecare, Comments, Competitive Bidding, Proposed Rule, reform


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On the Editor's Desk

Bundling: the non-surprise surprise?

February 28, 2014Liz Beaulieu, Editor

I was as surprised as the next person to see this week's advance notice of proposed rule making from CMS detailing its plans to not only spread bid pricing to non-bid areas (I guess we knew that one was coming), but also possibly change the game entirely by bundling payments for certain HME like CPAP devices. That's “bigger than competitive bidding itself,” one provider told me. CMS says about the move: “We believe it may be appropriate to modify the Medicare payment structure for...

Bundled Payments, Comments, Competitive Bidding


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