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Tag: Regulatory update

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AAH updates: Anthem, UnitedHealthcare, MACPAC

August 27, 2020HME News Staff

AAHomecare has doubled down on Anthem, sharing with the payer several examples of product cuts that highlight disparities between its new rates and Medicare rates both inside and outside competitive bidding areas, as well as the average rates currently in effect under the CARES Act. Earlier this summer, the association had expressed concerns about the cuts to Anthem, and the payer responded that the cuts “better align rates to state and local DME market dynamics.” In its subsequent response,...

AAHomecare, Payers, Regulatory update

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Regulatory updates from AAHomecare: Oxygen payments, supplier standards

November 29, 2016HME News Staff

Starting April 1, 2017, the fee schedule amount for stationary oxygen equipment will be increased if either of the following applies: 1.) if the prescribed amount for stationary equipment exceeds 4 liters per minute, the amount will be increased 50%; or 2.) if portable oxygen is prescribed, the amount for portable equipment will be added to the amount for stationary equipment. If both situations apply, the DME MACs will have to use the higher amount of the two, but they cannot use both adjustments�CMS...

AAHomecare, Oxygen payments, Regulatory update, supplier standards

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