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Tag: Payment

Wayne Grau


Stakeholders on seat elevation: ‘We need more details’ 

March 20, 2024Liz Beaulieu, Editor

WASHINGTON – Complex rehab stakeholders are disappointed in CMS’s payment rate for seat elevation systems and have requested a meeting with the agency to learn more about how it landed on about $2,000.  That rate is lower than the $2,800, on average, that providers are being paid for the systems on an interim basis, and significantly lower than the rate stakeholders had recommended.  “The payment piece was disappointing,” said Wayne Grau, executive director...

Coding, Complex Rehab, Payment, seat elevation

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CMS releases coding, payment info for seat elevation systems 

March 4, 2024HME News Staff

WASHINGTON – CMS has announced coding and payment information for seat elevation systems for complex rehab power wheelchairs, AAHomecare has reported.  The key takeaways, according to the association:  Discontinues existing HCPCS Level II code E2300, “Wheelchair accessory, power seat elevation system, any type,” effective March 31, 2024  Establishes E2298, “Complex rehabilitative power wheelchair accessory, power seat elevation system, any...

AAHomecare, Coding, Complex Rehab, Payment, seat elevation

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Also Noted

MediStreams highlights performance 

February 5, 2024HME News Staff

ROSWELL, Ga. – MediStreams, a provider of health care remittance and reconciliation solutions, ended 2023 with more than 500 end-clients on its platform, representing nearly 15,000 unique provider locations, clinics, branches and facilities. "MediStreams experienced tremendous growth and success throughout 2023,” said Jim Coyle, CEO. “As we carry that strong momentum into 2024, we look forward to strengthening our leading position in the market and delivering exceptional service...

MediStreams, Payment, remittance, Revenue Cycle Management

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Specialty Providers

CMS boosts pay for antibody treatment in the home

May 10, 2021HME News Staff

WASHINGTON – CMS has established a higher rate of $750 to administer monoclonal antibody treatment to Medicare beneficiaries with COVID-19 in their homes, including permanent residences or temporary lodgings.  The new rate accounts for the increased costs associated with the one-on-one nature of this care model and reflects additional information provided to CMS about providing these services in a safe and timely manner.  “CMS’s...

Home Infusion, Monoclonal antibody treatment, Payment

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AAHomecare comments on product innovation

November 3, 2020HME News Staff

WASHINGTON - CMS needs to move away from the gap-fill methodology and develop an alternative payment system, AAHomecare urges in comments to a recent proposed rule on innovation and technology. The association says a new payment system would ensure appropriate payment and access, should a device receive approval under the proposed “Medicare Coverage of Innovative Technology” (MCIT). CMS has proposed MCIT as a streamlined pathway for “FDA-designated breakthrough...

AAHomecare, Innovation, Medicare, Payment, Technology

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Guest Blog

We follow Medicare guidelines, they say

November 13, 2019HME News Staff

  Dan_Fedor.jpg Many Medicare beneficiaries are being enticed by celebrities on TV to select a Medicare Advantage (MA) plan over original Medicare fee for service (FSS) with all the standard benefits of Medicare at a lower out-of-pocket cost. These plans often state they provide additional benefits, such as gym memberships, transportation and eyeglasses, so how can they provide more benefits with a lower cost? Seems too good to be true, doesn't it? How can these private,...

Medicare, Medicare Advantage, Payment, Policies

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Also Noted

Rep. Gallego calls on VA to speed up payments

October 1, 2019HME News Staff

WASHINGTON - Rep. Ruben Gallego, D-Ariz., has sent a letter to the Veterans Benefits Administrator expressing his concerns about delayed payments to providers that perform VA-authorized installations, repairs and maintenance of automobile adaptive equipment (AAE). Gallego expressed concerns over reports of thousands of past-due reimbursement invoices totaling more than $34 million between 2010-15. “This is causing serious operational and payroll issues at businesses that cannot afford to be...

Adaptive, Department of Veterans Affairs (VA), Equipment, Payment, Vehicle

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Also Noted

Cash-only CPAP provider debuts

September 3, 2019HME News Staff

MIDDLEBURGH HEIGHTS, Ohio - Miguel Semidey has opened a retail store here called CPAP EquipSource to sell CPAP machines, masks, nebulizers, supplies, POCs and more to cash-paying customers, according to “Right now, we're trying to attract that out-of-pocket customer who doesn't want to deal with an insurance company,” he told the website. “A lot of patients, for whatever reason, don't have options. They come to us and see different options in person, as...

Cash, CPAP, Home Sleep Testing, Payment, Sleep Apnea

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Also Noted

NHIA denounces new proposed rule

July 16, 2019HME News Staff

ALEXANDRIA, Va. - A proposed rule published last week fails to address a “deeply flawed policy” that reimburses home infusion services only on days when a nurse is present in the patient's home, says the National Home Infusion Association. “This policy fundamentally misunderstands how home infusion is delivered, could jeopardize patient safety and creates barriers that have already inhibited patient access to these services,” said Logan Davis, PharmD, chairman of NHIA's board...

Home Infusion, Nurse, Payment

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CMS to pay more for CPAP alternative

August 7, 2018HME News Staff

MINNETONKA, Minn. - An alternative to CPAP therapy has been approved by CMS for a new technology add-on payment to hospitals. The NTAP program will provide additional reimbursement on top of the standard Medicare Severity Diagnosis Related Group payment to hospitals under the Medicare Hospital Inpatient Prospective System for Respicardia's remed? System, an implantable device that treats the effects of central sleep apnea by restoring a more normal breathing patter during sleep. The add-on payment...

CPAP Alternative, Payment, Respicardia

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