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Perry Home Medical Supply closes doors


PRINCETON, Ill. – Perry Memorial Hospital is closing the Perry Home Medical Supply store, citing changes in Medicare reimbursement, according to news reports.

In brief: GAO rejects protest, Hoveround lays off 20


NEW YORK – The Government Accountability Office (GAO) has denied Rotech’s protest that the Department of Veterans Affairs (VA) unreasonably ignored recent, relevant information when it decided Rotech wasn’t financially fit to win contracts to supply veterans with home oxygen equipment, Law360 reports.

In brief: Apria ditches SEC reports, Invacare outsources IT


LAKE FOREST, Calif. – Apria Healthcare will no longer file reports with the Securities and Exchange Commission (SEC), according to a Form-8K dated Jan. 21.

Rights group: Beneficiaries struggle under Medicare


NEW YORK – Beneficiaries find Medicare expensive and confusing, the Medicare Rights Center has found.

How do they find us if they can’t find a provider?

Tuesday, January 21, 2014

Calls and emails from you, HME providers, aren’t the only calls and emails we field here at HME News world headquarters in Yarmouth, Maine. We also get calls from Medicare beneficiaries pretty frequently.

In brief: CMS reports glitch, OIG reports overpayments


NASHVILLE, Tenn. – A problem with ordering/referring physician data in the DME MAC claim system is affecting processing, as well as the data available in the myCGS web portal and the Jurisdiction C IVR, according to a bulletin from CGS.

Medicare overpays for VES, report finds


BALTIMORE – Medicare payments for vacuum erection systems (VES) are more than twice the amount paid by other payers, such as the Veterans Affairs, and the amount paid by consumers online, the Office of Inspector General (OIG) has found.

CMS: Mail order costs more than pharmacies


ALEXANDRIA – It costs Medicare up to 83% more to fill prescriptions through mail-order pharmacies than through community pharmacies, a new analysis has found.

Contractor clarifies respiratory policy


WASHINGTON – Medicare does not reimburse for home oxygen used specifically to treat obstructive sleep apnea (OSA) because it is not the primary treatment for that disease, even if beneficiaries cannot tolerate PAP devices, CGS Associates said in a recent FAQ sent to providers.

CMS clarifies “homebound”


BALTIMORE – Medicare beneficiaries must now meet two sets of criteria to be considered “homebound,” according to new rules that take effect Nov. 19.