Skip to Content

Tag: Pricing


Also Noted

OIG provides latest pricing update on Part B drugs

November 18, 2020HME News Staff

WASHINGTON - Seven codes for Medicare Part B drugs met CMS's price substitution criteria by exceeding the 5% threshold for two consecutive quarters or three of the previous four quarters, according to a new report from the Office of Inspector General. The OIG is providing the seven codes to CMS for its review. It says CMS should review this information to determine whether or not to pursue price substitutions that would limit excessive payments for Part B drugs. The OIG conducted its study by obtaining...

Average Manufacturer Price, Average Sales Price, Part B drugs, Pricing


Read Full Articlered right arrow icon

Also Noted

OIG: ASP continues to exceed AMP for certain drugs

March 10, 2020HME News Staff

WASHINGTON - The average sales price for 11 drug codes in the third quarter of 2019 met CMS's price substitution criteria by exceeding the average manufacturer price by 5% for two consecutive quarters or three of the previous four quarters, according to a new report from the Office of Inspector General. When the ASP exceeds the AMP by 5%, the Department of Health and Human Services substitutes the ASP-based amount with a lower calculated rate, either 103% of the AMP or the widely available market...

AMP, ASP, OIG, Part B drugs, Pricing


Read Full Articlered right arrow icon

Also Noted

3B provides 'preferential pricing' to MED members

July 23, 2019HME News Staff

WINTER HAVEN, Fla. - 3B Medical's sleep and respiratory products are now available to members of Managed Health Care Associates, dba The MED Group, under special terms. “We are excited to partner with MHA and MED to expand our reach to their national member base of sleep and respiratory care providers and extend to those members preferential pricing to support their growth initiatives,” said Jose Llana, 3B's director of sales. CMS's competitive bidding program mandates that providers...

3B Medical, Med Group, Pricing, respiratory


Read Full Articlered right arrow icon

Also Noted

Contract switches to Palmetto GBA

January 2, 2019HME News Staff

COLUMBIA, S.C. - Palmetto GBA is taking over as the Pricing, Data Analysis and Coding (PDAC) contractor this month. The PDAC receives, evaluates and processes coding verification applications for DMEPOS; establishes, maintains and updates all coding verification decisions on the product classification list; provides coding guidance for manufacturers and suppliers on the proper use of HCPCS; maintains and publishes the NDC/HCPCS crosswalk and OACD pricing files; and conducts DMEPOS data analysis....

Coding, Palmetto GBA, PDAC, Pricing


Read Full Articlered right arrow icon

On the Editor's Desk

Always the easy target

November 1, 2017Liz Beaulieu, Editor

A Boston TV station recently ran an “I-Team” piece on a man who needed a brace after twisting his knee and who was charged nearly $700 for said brace by a local supply company because he hadn't met his deductible. In shock, the man Googled the brace and found it available through several online retailers for as little as $125. Who do you think took the blame in this scenario? You guessed it, the supply company. It's all become so very predictable. There a number of things wrong with this,...

Competitive Bidding, Pricing


Read Full Articlered right arrow icon

Also Noted

Pride Mobility cuts price on power lift recliners

October 4, 2017HME News Staff

EXETER, Pa. - Pride Mobility Products has cut the price of its power lift recliners by 10% for the fourth quarter, the manufacturer announced Oct. 2. Pride says the cut, which went into effect on Oct. 1 for all Pride branded, quick-ship power lift recliners, is meant to help HME providers compete with outside industry channels. “From e-commerce to mass merchants to discount stores to furniture stores, everyone wants to leverage a piece of this ever-important category,” Pride states in...

e-commerce, Power lift recliner, Pricing, Pride Mobility


Read Full Articlered right arrow icon

Also Noted

Pride Mobility updates MAP Policy

August 26, 2016HME News Staff

EXETER, Pa. - Pride Mobility Products has updated its Minimum Advertised Pricing Policy to best support HME providers. “Our role is to help all of our providers succeed, and this updated MAP policy truly creates a level and ideally prosperous playing field for businesses of all sizes,” said Julie Piriano, vice president of clinical education/rehab industry affairs and compliance officer, in a press release. The goal of the MAP Policy is to promote fair competition across all distribution...

MAP Policy, Pricing, Pride Mobility


Read Full Articlered right arrow icon

Mobility

It's go-time on wheelchair accessories

July 1, 2016Liz Beaulieu, Editor

WASHINGTON - It's a tough year to push legislation through Congress, but things are lining up nicely for stakeholders trying to permanently stave off reimbursement cuts to accessories for complex manual and power wheelchairs.Stakeholders were armed with a recent report from the Government Accountability Office that backs up the need to pass legislation going in to a high-profile lobbying event, the United Spinal Association's “Roll on Capitol Hill” June 26-29. Another such event, the...

Accessories, Competitive Bidding, Complex Manual and Power Wheelchairs, Pricing


Read Full Articlered right arrow icon

News

CMS opens portal for bid offers

February 17, 2016HME News Staff

WASHINGTON - In a sign that contract offers might be on their way, HME providers who submitted bids as part of the Round 2 and the national mail-order re-compete may now register for Connexion.Contract offers and other correspondence for the Round 2 and national mail-order re-compete will be communicated only through Connexion, a new secure, online portal, according to an update posted to the CBIC website Feb. 17.“These items will not be mailed,” the agency stated.To respond to offers...

Competitive Bidding, Contract Offers, Pricing, Round 2 re-compete


Read Full Articlered right arrow icon

Also Noted

Roscoe adopts new pricing policy

May 19, 2015HME News Staff

STRONGSVILLE, Ohio - Roscoe Medical has introduced a minimum advertised price policy for its Viverity line of retail home healthcare products. With a MAP policy, HME providers can be confident that they won't be underpriced by “bargain basement e-commerce retailers,” according to the company. “The goal with our MAP policy is to maintain margin integrity at the HME storefront level and ensure a level playing field across the board for our provider network,” stated Ryan Moore,...

Cash, Pricing, Retail, Roscoe Medical, Viverity


Read Full Articlered right arrow icon