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Stakeholders dig into recently released bid data 

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Stakeholders dig into recently released bid data 

January 22, 2021Liz Beaulieu, Editor

WASHINGTON – Industry stakeholders are still digging through the Round 2021 data that CMS furnished late on Jan. 15 and trying to figure out what’s behind the sometimes drastic variance in payment amounts.  For example, the amount for an oxygen concentrator was $72.36 in Akron, Ohio, but $189 in Chicago. The amount for CPAP devices was $38 in Oxnard, Calif., but $110.80 in Las Vegas. (Click here for more examples.) “It’s difficult to say...

competitive bidding, payment amounts, pivotal bids, Round 2021


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Also Noted

CMS details 2017 calculations for oxygen

January 20, 2017HME News Staff

WASHINGTON - CMS has made available its 2017 calculations for oxygen generating portable equipment, stationary oxygen contents and portable oxygen contents. Each year, the monthly fee schedule payment amounts for stationary oxygen equipment—HCPCS codes E0424, E0439, E1390 and E1391— are adjusted to make the additional payment classes for oxygen and oxygen equipment that were added in 2007 budget neutral. Separate payment classes were added in 2007 for portable concentrators, portable...

calculations, home oxygen therapy, methodology, payment amounts


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Specialty Providers

IR makes a comeback?

June 25, 2012HME News Staff

WASHINGTON - CMS announced late on Friday that it plans to host a public meeting next month to consult with stakeholders on adjusting Medicare payment amounts for non-mail order diabetes supplies.CMS already has a national competitive bidding program in place to set payment amounts for mail-order diabetes supplies. But rather than add non-mail order supplies to the mix, the agency is considering using inherent reasonableness (IR) to set payment amounts for these products in the short term.“We...

competitive bidding, diabetes supplies, non-mail order, payment amounts


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