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Tag: TRICARE


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AAHomecare updates: Sequestration, innovative tech, supplier costs, TRICARE

January 22, 2021HME News Staff

Reps. Brad Scheider, D-Ill., and David McKinley, R-West Va., introduced have introduced H.R. 315, new legislation to continue the moratorium on the Medicare sequester cuts through the duration of the public health emergency. In December, Congress extended the pause on the 2% cuts, which were set to expire at the end of 2020, through March 2021…CMS published a final rule on Medicare Coverage of Innovative Technology and the Definition of “Reasonable and Necessary” on Jan. 14. The...

sequestration, supplier costs, TRICARE


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AAH roundup: Proposed rule, Stand Up, TRICARE

November 10, 2020HME News Staff

AAHomecare has published key takeaways from CMS's recent proposed rule outlining changes to the fee schedule methodology starting April 1, 2021, or immediately after the public health emergency, whichever is laterAAHomecare's Stand Up for Homecare, held during last week's Medtrade Virtual Conference, raised $6,500 toward the association's commitment to support ITEM Coalition. The coalition is a policy steering group for more than 80 patient advocacy organizations that have been strong allies on...

aahomecare, competitive bidding, fee schedule, stand up for homecare, TRICARE


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Tricare to stop recoupments on compounded meds

October 22, 2020HME News Staff

ALEXANDRIA, Va. - TriCare/Express Scripts will no longer seek to recoup prescriptions from compounding pharmacies from 2015 that it says were fraudulent because there was no physician/patient relationship indicated. The amounts to be recouped ranged from less than $100 to more than $200,000. “ESI was basically saying that the only way the pharmacies could exonerate themselves was by producing documentation that the prescribing physician actually had seen the patient,” said Scott Brunner,...

compounding pharmacy, National Community Pharmacists Association, TRICARE


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In brief: PHE extension, AdaptHealth's public offering, Tricare update

July 2, 2020HME News Staff

WASHINGTON - It appears the Department of Health and Human Services will extend the current public health emergency.Both AAHomecare and the VGM Group have pointed to a June 29 tweet posted by Michael Caputo, HHS assistant secretary for public affairs, that said: “HHS expects to renew the public health emergency due to COVID-19 before it expires. We have already renewed this PHE once.”HHS first put the PHE in place on Jan. 27. It renewed the PHE on April 26 for another 90 days.Renewing...

AdaptHealth, Aeroflow, F&P, Public Health Emergency, Stander, TRICARE


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AAH provides update on Tricare and COVID-19 relief

June 30, 2020HME News Staff

WASHINGTON - Tricare East contractor Human Military loaded new reimbursement rates authorized by the CARES Act into their system on June 3, according to AAHomecare. Claims from that day forward should reflect the new rates. Humana Military is now working on adjustments retroactive to the start date for the act. AAHomecare has reached out to Tricare West contractor HealthNet for an update on its efforts to implement relief provisions in the CARES Act. Tricare has also confirmed that it's waiving cost...

aahomecare, Coronavirus Outbreak, relief, TRICARE


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In brief: Acquisition joins two 'strong providers,' Tricare to cover CPAP

January 3, 2020HME News Staff

GREENSBURG, Pa. - MedCare Equipment Company has purchased the assets of Somerset Med Services.The 25-year-old Somerset Med Services is a provider of home medical equipment and respiratory therapy services based in Somerset, Pa.“As our community ages, the need for home medical equipment and supplies will only continue to increase,” said Patricia Mastandrea, newly-appointed CEO. “The coming together of these two companies allows those needs to be addressed more effectively and efficiently...

Invacare, MedCare Equipment Company, TRICARE


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Tricare covers travel CPAP machines

January 2, 2020HME News Staff

WASHINGTON - Tricare will cover portable CPAP machines retroactive to Jan. 24, 2019, if certain conditions are met, Military.com reports. The health insurer for military members and their families will cover CPAP machines if a member has been diagnosed with OSA and is being deployed or travels on official business at least three days a month. Tricare has transitioned from an individual to a blanket waiver for these active-duty members at the request of service branches, an official from the insurer...

CPAP, portable, TRICARE


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In brief: AAH meets with Humana Military, accessories issue clears another committee

July 18, 2019HME News Staff

WASHINGTON - AAHomecare has requested that Humana Military waive the requirement for documentation submission with each subsequent rental month after the initial documentation is received.Humana Military, which manages the Tricare East contract, is currently evaluating the request, the association says.The development comes after Laura Williard, vice president of payer relations, and David Chandler, director of payer relations, met with executive leadership at Humana Military and Wisconsin Physician...

Accessories, complex rehab manual wheelchairs, documentation, Humana Military, TRICARE


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AAH meets with Humana Military on documentation glitch

July 16, 2019HME News Staff

WASHINGTON - AAHomecare has requested that Humana Military waive the requirement for documentation submission with each subsequent rental month after the initial documentation is received.Humana Military, which manages the Tricare East contract, is currently evaluating the request, the association says.The development comes after Laura Williard, vice president of payer relations, and David Chandler, director of payer relations, met with executive leadership at Humana Military and Wisconsin Physician...

aahomecare, Humana Military, Payer Relations, payment delays, TRICARE


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Providers

Tricare still source of frustration

June 21, 2019Theresa Flaherty, Managing Editor

SAVANNAH, Ga. - More than a year after Humana Military took over the Tricare East contract, there are still billing issues, providers report.Provider David McLeod, for example, has been told he must submit a certificate of medical necessity every time he submits a claim for a CPAP device because the claims processor doesn't have the ability to attach a CMN already on file.“Essentially they are saying that, for us to get paid, we have to go through the whole process of submitting paperwork for...

Home Medical Equipment, Humana, TRICARE


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