Tag: End-Stage Renal Disease (ESRD)
In brief: CMS publishes final rule, Rotech taps $50M for acquisitions
November 1, 2019HME News Staff
WASHINGTON - CMS on Thursday afternoon released an ESRD final rule that implements a permanent home infusion therapy benefit in 2021 and establishes a methodology for establishing fee schedules for new DMEPOS items.
CMS published the proposed rule in July. The final rule will be published Nov. 8.
Home infusion
Per the rule, CMS will group home infusion drugs into three payment categories, each with a unit of single payment, paid at amounts in accordance with specified infusion codes and...
CMS issues final ESRD rule
October 31, 2019HME News Staff
WASHINGTON - CMS on Thursday afternoon released an ESRD final rule that establishes a permanent home infusion therapy benefit in 2021 and establishes a methodology for establishing fee schedules for new DMEPOS items.
CMS published the proposed rule in July. The final rule will be published Nov. 8.
Home infusion
Per the rule, CMS will group home infusion drugs into three payment categories, each with a unit of single payment, paid at amounts in accordance with specified infusion codes and...
CMS releases final bid-related rule
November 1, 2018HME News Staff
WASHINGTON - CMS has released the anxiously awaited DMEPOS/ESRD Final Rule—without increasing payment amounts in former competitive bidding areas during the gap period.
“We believe that the CY 2019 ESRD PPS DMEPOS proposed rule, which we are finalizing, will result in adequate fee schedule amounts given that the SPAs that the adjusted fees are based on are the same amounts that have been used to adjust the fee schedule amounts for non-rural non-CBAs since Jan. 1, 2017,” the agency...
Comments in hand, industry ready to roll on broader relief
August 24, 2018Theresa Flaherty, Managing Editor
WASHINGTON - Industry stakeholders feel they have a “fair shot” at getting broader reimbursement relief for HME providers in all non-competitive bidding areas, rather than in the limited areas proposed by CMS.In comments submitted last week on a recent proposed rule, AAHomecare urged CMS to apply 50-50 blended rates not only in rural and non-contiguous areas from Jan. 1, 2019, through Dec. 31, 2020, but also in the remaining non-bid areas.“It was mentioned in the interim final rule...