Tag: Nebulizers

FORT PAYNE, Ala. - An increase in hospital readmissions for COPD patients could open the door for HME providers to re-enter a nebulizer medication market that has been dominated by national providers, says Marcus Kruk.“There was a full complement of care that used to exist when reimbursements were good,” said Kruk, national sales and marketing director and business development for ABC Plus, an independent respiratory medication pharmacy. “Now, patients are having difficulty finding...

WASHINGTON - CMS rolled out more drafts of clinical templates, this time for external infusion pumps and nebulizers, during a Special Open Door Forum on May 3.The agency has been creating the templates, along with clinical data elements, to help reduce the overall provider burden and respond to the push in the public sector toward electronic health records.The product categories chosen for the templates have high improper payment rates, as outlined in a 2017 fiscal year Comprehensive Error Rate Testing report....

TROY, Mich. - DirectRx Pharmacy, an independent pharmacy, says it has won a competitive bidding contract for nebulizers and related supplies as part of Round 1 2017. Under the contract, which runs from Jan. 1, 2017, through Dec. 31, 2018, DirectRx will supply nebulizers and supplies to Medicare beneficiaries in Kansas City, and in Dearborn, Franklin, Ohio and Union counties in Indiana. “DirectRx is proud to be awarded this contract so that we can further our vision of helping patients with...

INDIANAPOLIS - National Government Services, the Jurisdiction B DME MAC, plans to conduct a widespread prepayment review of nebulizers, related drugs, accessories and dispensing fees, it announced Oct. 29. The review is an expansion of a documentation review now being conducted on oxygen equipment and glucose supplies. Suppliers of selected claims will receive a request in the mail asking for copies of the signed and dated detailed written order, applicable dispensing orders, records supporting medical...

WASHINGTON - The Office of Medicare Hearings and Appeals (OMHA) will defer assignments for hearings—possibly up to 28 months, according to a recent notice. Requests for hearings received after July 15, 2013, will be entered into the agency's case processing system and held until there is room on an Administrative Law Judge's (ALJ) docket for adjudication. When a request is assigned, a notice will be sent, according to the notice. The ALJs have been backlogged for more than a year, thanks...

WASHINGTON - In the wake of the industry's recent virtual fly-in, H.R. 1717 has picked up an additional seven co-sponsors, bringing the current total to 144. The bill, which was introduced April 24 by Rep. Tom Price, R-Ga., would repeal the competitive bidding program and replace it with a market-pricing program (MPP). “Shoring up that support is important,” said Cara Bachenheimer, senior vice president of government relations for Invacare. “Feeding lawmakers information about the...

WASHINGTON - National Government Services (NSG), the Jurisdiction B DME MAC, will initiate a widespread prepayment review of nebulizers (E0570), related drugs, accessories and dispensing fees, it announced in a recent message. Providers that receive an additional documentation request should provide, within 45 days, the following: a copy of a signed and dated detailed written order; a copy of the dispensing order, if applicable; a copy of medical records supporting medical necessity; and proof of...