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OIG to CMS: Adjust payments for orthotic devices

November 5, 2019HME News Staff

WASHINGTON - Medicare allowable amounts for certain orthotic devices are not comparable with payments made by select non-Medicare payers, according to the Office of Inspector General.For calendar years 2012-15, the OIG estimated that Medicare and beneficiaries paid $341.7 million more than select non-Medicare payers on 142 HCPCS codes and $4.2 million less than select non-Medicare payers on 19 codes. Of the net $337.5 million difference, the agency estimated that Medicare paid $270 million and beneficiaries...

OIG, orthotics, payments


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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...

automobile adaptive equipment, payments, Veterans Affairs


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Brightree helps providers get paid

February 28, 2017HME News Staff

ATLANTA - Brightree has released an app that gives HME providers a quick way to process patient payments through smartphones or tablets anywhere in real time. The Brightree Patient Collections GetPaidHME app, which runs on Apple and Android devices, allows users to scan a sales order directly from a delivery ticket. From there, the patient is added to the delivery queue, and sales order data, including recipient and payment information, is integrated into the app, eliminating the need for paper invoices....

app, Brightree, paperless, payments


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Feds tweak Medicare Advantage pricing for 2017

April 5, 2016HME News Staff

WASHINGTON - Payments to insurers that offer Medicare Advantage plans won't be as high as initially expected. Medicare Advantage payments will increase 0.85%, on average, for 2017, and insurers will likely see overall revenue increases of 3.05%, according to news reports. Earlier this year, CMS had indicated that payments would increase 1.35% and that insurers would see overall revenue increases of 3.55%. As part of a final rule published this week, the Obama administration has also proposed several...

increase, Medicare Advantage, payments


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Feds tweak Medicare Advantage pricing for 2017

April 5, 2016HME News Staff

WASHINGTON - Payments to insurers that offer Medicare Advantage plans won't be as high as initially expected. Medicare Advantage payments will increase 0.85%, on average, for 2017, and insurers will likely see overall revenue increases of 3.05%, according to news reports. Earlier this year, CMS had indicated that payments would increase 1.35% and that insurers would see overall revenue increases of 3.55%. As part of a final rule published this week, the Obama administration has also proposed several...

increase, Medicare Advantage, payments


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