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Bid window closes … without much fanfare

‘If we get the bid at our prices, great; if not, we will continue to operate per usual’
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09/20/2019

YARMOUTH, Maine – Respondents to a recent HME Newspoll report having a take-it-or-leave-it attitude toward Medicare, in the wake of the bid window for Round 2021 closing on Sept. 18.

In brief: Stakeholders issue bid challenge, Invacare appoints new board member

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09/20/2019

WASHINGTON – AAHomecare asks providers to zero in on lawmakers who have previously co-sponsored bid-relief legislation and ask them to support H.R. 2771.

Stakeholders issue challenge on H.R. 2771

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09/19/2019

WASHINGTON – AAHomecare asks providers to zero in on lawmakers who have previously co-sponsored bid-relief legislation and ask them to support H.R. 2771.

Stakeholders eye upcoming payment rule

‘What will be the formula in non-bid areas?’
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09/13/2019

WASHINGTON – Industry stakeholders are stepping back to take a larger view of payment issues for HME, with the bid window for Round 2021 closing on Wednesday.

Auditors avoid appeals process, make ‘major’ requests

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09/13/2019

YARMOUTH, Maine – If you’re an HME provider trying to appeal a denial by a managed care payer, it’s probably not going very smoothly, reports consultant Wayne van Halem.

In brief: Invacare sticks to target, Quality Biomedical takes on investor

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09/13/2019

ELYRIA, Ohio – Invacare reaffirmed its long-term target of $85 million to $105 million adjusted EBITDA run-rate by the fourth quarter of 2020 at the Baird Global Healthcare Conference in New York on Sept. 4.

Guilty plea entered for $424M fraud scheme

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09/10/2019

WASHINGTON – The owner and CEO of a telemedicine company has pleaded guilty to a $424 million conspiracy to defraud Medicare and receive illegal kickbacks in exchange for DME orders, the Department of Justice has announced.

Providers feel burned in California

Under a proposal, Medi-Cal reimbursement for an oxygen concentrator would drop to $55.19
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09/06/2019

SACRAMENTO, Calif. – California’s Medicaid program, Medi-Cal, may find itself in a bind for HME providers if a drastic reimbursement cut goes through as planned, say industry stakeholders.

In brief: CMS ‘locks door to vault,’ stakeholders raise alarm on proposal to weaken Medicaid oversight

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09/06/2019

WASHINGTON – CMS has issued a final rule that creates several new revocation and denial authorities to bolster the agency’s efforts to stop waste, fraud and abuse in Medicare, Medicaid and CHIP.

CMS adds clarification to calculator

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09/06/2019

WASHINGTON – CMS has added a clarifying note on the lead-item pricing calculator for 14 non-lead item codes.

The codes, several of which are included in two categories in Round 2021 of the competitive bidding program, are:

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