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Harkin Decries 'In the Home' Policy, Calls for Change  

Sen. Thomas Harkin, D-Iowa, called for the "in the home" policy currently governing Medicare's reimbursement of wheelchairs to be changed because it does not reflect users' needs and hampers fulfillment of the goals of the Americans with Disabilities ...

CMS Revs Up Data Centers, Awards $228M in Contracts to CDS  

As part of its plan to modernize Medicare operations and lower costs by establishing enterprise data centers, CMS has recently awarded two contracts valued at $228 million....

Then and Now: CMS Hails Effects of Operation Wheeler Dealer  

Sixteen months after the cessation of a concentrated effort to crack power wheelchair fraud in Harris County, Texas, CMS is still seeing a decrease in fraudulent claims, officials said...

Special Chocolate Could Delay Brain Decay 

Researchers at the annual meeting of the American Association for the Advancement of Science last month said a special type of cocoa could help maintain brain function and stave off cognitive decline and dementia as people age...

Health Care Spending to Double By 2016  

U.S. health care spending will nearly double by 2016, reaching $4.1 trillion from $2.1 trillion in 2006--and the fastest-growing sector is home health care...

Cigna Ramps Up for Jurisdiction C MAC Duties  

Cigna Government Services is pushing to add more than 200 positions in preparation for taking over as the Jurisdiction C durable medical equipment Medicare Administrative Contractor, officials said late last week...

Thomas Takes on New Role in Washington  

Bill Thomas, former chairman of the powerful House Ways and Means Committee and a long-time foe of the home medical equipment industry, will make his first public speech today as a visiting fellow of the American Enterprise Institute for Public Policy Research. ...

Denials Soar for Wound Therapy Claims in Jurisdiction A  

A pre-pay probe review of Jurisdiction A claims for negative pressure wound therapy has resulted in more than three-quarters of those claims being denied, according TriCenturion, the DME Program Safeguard Contractor for regions A and B...

Zealous Anti-Fraud Activities Reap Millions for Florida  

The U.S. Attorney 's Office for the Southern District of Florida has filed 23 False Claims Act lawsuits against clinics and DME companies, alleging some $30 million in fraudulent Medicare claims. ...

Home Care Groups Bash Bush Budget  

In a move both expected and dreaded by home medical equipment providers, last week President Bush revealed his 2008 proposed budget, which includes a 13-month cap on oxygen rentals and elimination of the first-month purchase option for power wheelchairs. ...

Invacare: Good News for New O2 Technology 

On Friday, HME manufacturing giant Invacare Corp. issued a statement objecting to cuts in President Bush's budget proposal for 2008 that would impact both home oxygen and power wheelchairs. ...

Answers on MSAs and Bid Products Coming, CMS Says 

In a scheduled conference call Thursday with accrediting organizations, CMS officials confirmed that the agency's final rule on national competitive bidding is in the final clearance stage before publication....

Senate 'Stops Short' of Endorsing Norwalk  

On Tuesday, members of the Senate Finance Committee "shopped short" of endorsing CMS Acting Administrator Leslie Norwalk as the agency's permanent head, CQ HealthBeat reported. ...

Industry Awaits Bush Budget, Prepares for Action  

With President Bush's 2008 budget proposal expected today, industry stakeholders, alarmed by rumors that it will include provisions harmful to home care, have been gearing up for a response. ...

CMS to HMEs: No Deadlines Yet, but Get Accredited Now  

In what turned out to be only a blip on the accreditation radar, CMS has rescinded a change request that gave an April 2 implementation date for Part B providers to be accredited in order to maintain their supplier numbers and bill Medicare...

PSCs Redefine Basic Equipment Package for Power Wheelchairs 

Medicare's DME Program Safeguard Contractors have published a bulletin redefining the basic equipment package for power wheelchairs, determining what accessories are and are not separately billable. ...

State Associations Say Members Grappling with Too Many Uncertainties  

Home medical equipment associations across the country are facing challenges on both the state and federal levels this year, but the biggest one is a question mark, association officials said last week. ...

Price Reintroduces Bill to Repeal O2 Cap  

Last Monday, Rep. Tom Price, R-Ga., reintroduced the Home Oxygen Patient Protection Act. The bill would repeal the Deficit Reduction Act's rental cap on Medicare home oxygen and restore ownership of equipment to providers. ...

CMS Formalizes Accreditation Mandate  

In a formal change request issued Friday afternoon, CMS said all DMEPOS providers who bill Part B must be accredited before being awarded a contract under Medicare's upcoming national bidding competition--and to do business with the program...

Bush Proposes Expansion of Health Insurance, but Aims at Medicare in New Budget  

In his State of the Union address on Tuesday, President Bush proposed a plan to help cover the nation's uninsured that includes changes to the tax code and federal assistance to states. ...

Providers Clamor for Guidance on Whistleblower Info  

A federal whistleblower protection mandate that went into effect Jan.1 has frustrated many Medicaid providers, who say they need more guidance from CMS...

HME Mergers and Acquisitions Down  

HME mergers and acquisitions declined in 2006 because of reimbursement uncertainties, according to a report from The Braff Group, an M&A firm that specializes in the home care sector...

Cigna Gets OK as Region C DME MAC; Effective Date in Limbo 

Cigna Government Services has won a year-long tug-of-war with Palmetto GBA to become the government's Region C Medicare Administrative Contractor, according to a recent ruling by the General Accounting Office...

Gain One, Lose One: CMS Remembers Orlando, and Two Accrediting Bodies Merge  

The Centers for Medicare and Medicaid Services has quietly added another city to the list of potential sites for national competitive bidding...

200 Miami HMEs Lose Provider Numbers  

Some 200 HME providers in the Miami area have received letters from the National Supplier Clearinghouse suspending their provider numbers--and many, if not all, are without appropriate cause, attorneys and providers said...

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