Tag: Reductions
AAH finds big decreases in 2017 fee schedule
December 22, 2016HME News Staff
WASHINGTON - There will be an average decrease in reimbursement of 36.8% in 2017 for the top 25 HCPCS codes for HME, according to a new analysis by AAHomecare of the new reimbursement compared to 2016 and 2015 reimbursement. Low-air loss mattresses (E0277) will see the biggest hit: about a 58% decrease in reimbursement, on average, in 2017 vs. 2016. To perform the analysis of the recently released 2017 fee schedule, AAH segmented eight geographical regions and averaged the reimbursement for all the...
New rates paint unclear picture
October 4, 2013Liz Beaulieu, Editor
BALTIMORE - The average reduction in reimbursement for the Round 1 re-compete (37%) doesn't appear much worse than Round 1 (32%), but it's not that cut and dry, HME industry stakeholders say.It's only when you dive into some of the top codes within each product category and each competitive bidding area (CBA) that you get a true picture of the impact of the new reimbursement, they say.“The overall 37% figure can be deceiving,” said Kim Brummett, senior director of regulatory affairs for...