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CMS revises enrollment app, fee schedule

September 9, 2016HME News Staff

WASHINGTON - CMS has revised the 855S enrollment application and the July 2016 DMEPOS fee schedule, it announced in a Sept. 8 MLN Connects e-newsletter. The agency plans to publish a revised 855S this fall and providers must begin using it Jan. 1, 2017. Until then, CMS will accept both the current and the revised form. The agency has also revised the fee schedule for 66 codes. For most codes, the revised payment amounts for July 2016 are higher than the original payment amounts, according to AAHomecare.

enrollment, fee schedule


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New enrollment provisions overreach, attorneys say

December 24, 2014Theresa Flaherty, Managing Editor

BALTIMORE - Broad new enrollment provisions required by the Affordable Care Act could put HME providers at greater risk of losing their Medicare billing privileges, say industry attorneys.“(CMS has established) very nebulous criteria for taking really devastating action against providers,” said Elizabeth Hogue, a private practice attorney in Burtonville, Md. “It's very scary.”The provisions, released this month, allow CMS and its contractors to deny the enrollment of providers...

appeals, billing privileges, enrollment


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Medicare outlines new enrollment provisions

December 3, 2014HME News Staff

BALTIMORE - CMS has tightened its enrollment guidelines in a final rule issued today.In February 2011, CMS revised its enrollment policy to increase the integrity of the Medicare program, as required by the Affordable Care Act.New provider enrollment provisions include:ē Adding the ability to deny the enrollment of providers, suppliers, and owners affiliated with an entity that has unpaid Medicare debt. This will help prevent individuals and entities from being able to incur substantial debt to Medicare,...

enrollment


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CMS touts popularity, value of MA plans

September 19, 2014HME News Staff

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.“Seniors and people with disabilities are benefiting from a transparent and competitive marketplace for Medicare health and drug plans,” stated CMS Administrator Marilyn Tavenner in a press release.The annual open enrollment period for Medicare and drug plans begins Oct. 15.Between...

enrollment, Medicare Advantage, premiums


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