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Tag: non-bid areas


News

GAO sides with CMS on impact of bid program

August 28, 2018HME News Staff

WASHINGTON - The average reduction in payment rates in non-competitive bidding areas for five DME items with the highest expenditures in 2016 was 46%, according to a new report from the Government Accountability Office.In its review of the effects of reduced payment rates in non-bid areas, the GAO also found that: the number of suppliers furnishing rate-adjusted items in non-bid areas in 2016 decreased 8% compared to 2015; and beneficiary utilization of rate-adjusted items in non-bid areas in 2016...

competitive bidding, GAO, monitoring activities, non-bid areas


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CMS solicits input on future reimbursement for non-bid areas

March 7, 2017HME News Staff

WASHINGTON - CMS has scheduled a call to solicit stakeholder input on its methodology for using information from the competitive bidding program for adjusting Medicare fee schedule amounts in non-bid areas.The 21st Century Cures Act mandated that the agency solicit and take into account stakeholder input on future pricing in non-bid areas.The act also mandated that CMS take into account the highest amount bid by a winning supplier in a bid area, as well as make comparisons in bid and non-bid areas...

Cures Act, non-bid areas, reimbursement, stakeholder input


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CMS delivers another blow with new pricing

June 23, 2016HME News Staff

WASHINGTON - CMS late this afternoon released new pricing for non-competitive bidding areas as of July 1, and in one fell swoop handed down cuts of anywhere from 10% for insulin pumps to 80% for TENS units compared to pricing in 2015.Among 15 products highlighted in a CMS fact sheet, 11 show cuts of 50% or more, AAHomecare pointed out in a bulletin.“It's clear that these are cuts that will be devastating for providers and patients alike in these areas, and ultimately unsustainable for a healthcare...

competitive bidding, delay, July 1, legislation, non-bid areas


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Bid delay bill passes in Senate

June 23, 2016HME News Staff

WASHINGTON - The Senate has passed a bill that would delay a second round of Medicare reimbursement cuts, according to the Council for Quality Respiratory Care.Medicare plans to implement a second round of cuts in non-bid areas on July 1, following a first round of cuts that went into effect in those areas on Jan. 1. Together, they will reduce reimbursement, on average, 50%.“We applaud the Senate for recognizing the urgency in passing this legislation before July 1, which will help to ensure...

competitive bidding, delay, non-bid areas, relief


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