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Bill to Amend 'In the Home' Language Introduced  

Bipartisan legislation introduced in the Senate last week calls for lifting Medicare's controversial "in-the-home" restriction for coverage of wheelchairs...

Measure Would Consolidate Infusion Under Part B  

Legislation recently introduced by Rep. Kay Granger, R-Texas, would consolidate coverage for home infusion drugs and services under Medicare Part B...

VGM Study: Hobson-Tanner Won't Alter NCB Savings  

If the Hobson-Tanner bill takes effect, it would not significantly change the savings the government can expect from national competitive bidding, according to a study commissioned by The VGM Group...

Pharmacists Weigh In, Say Competitive Bidding Will Limit Patient Access  

Millions of Medicare beneficiaries would face decreased access to DME if competitive bidding takes effect, the National Community Pharmacists Association said last week. ...

CMS to Target Medicaid Fraud and Abuse  

CMS has launched a new program aimed at detecting and preventing Medicaid fraud and abuse, the agency announced Tuesday. ...

New Power Mobility Guidance Issued  

The Region C DME Medicare Administrative Contractor published its latest documentation guidance for power wheelchairs and scooters late Tuesday night...

CMS Mum on Release of Quality Standards  

Industry stakeholders awaiting the release of HME supplier quality standards still have no word from CMS. At an agency Home Health, Hospice & DME Open Door Forum Tuesday, Eric Sokol, director of the Power Mobility Coalition, pointed out that CMS had previously ...

Scully Settles Allegations of Inappropriate Expense Claims  

Former CMS Administrator Tom Scully has agreed to pay $9,782 to settle allegations that he improperly claimed travel expenses as head of Medicare while looking for another job. ...

MedPAC Calls Rebate Proposal a Bad Idea 

The rebate program proposed under CMS' draft competitive bidding rule for Medicare DME has the potential to induce fraud and should be eliminated, the Medicare Payment Advisory Commission told CMS....

New Study Documents Cost of Home Oxygen Services 

More than 40 congressional staffers crowded Room S-120 in the U.S. Capitol June 27 for a briefing on home oxygen therapy--and its costs. ...

MMA Work Group Wants Health Care for All by 2012 

Giving all Americans access to core health care services by 2012 is just one of the interim recommendations issued last month by the Citizens' Health Care Working Group. ...

Ryan: 'Don't Make It Harder for Americans to Breathe' 

WASHINGTON--Getting members of Congress to sign on to the Home Oxygen Patient Protection Act was one of the main "asks" HME stakeholders took to Capitol Hill at a legislative fly-in sponsored by the American Association for Homecare last week. ...

Texas Doctor Sentenced to 11 Years for Power Wheelchair Scheme 

HOUSTON--A Texas physician has been sentenced to 11 years in prison and must pay $14 million in restitution for his role in a power wheelchair scam that led to the creation of Operation Wheeler Dealer, a massive crackdown on Medicare fraud and abuse. ...

AHRQ Official Says Nation On Track To Implement Health IT By 2014 

WASHINGTON--The director of the Agency for Healthcare Research and Quality said the nation is ahead of schedule in meeting President Bush's deadline of having a nationwide health information network and electronic health records for Americans by 2014. ...

Medicare '$299' Telephone Scammers Ask for More Money 

BALTIMORE--A scam asking Medicare beneficiaries for money to enroll them in a nonexistent prescription drug plan has changed into a higher-priced scam, CMS said. ...

Mobility Stakeholders: Code Descriptions Look Good, but Testing Requirement Worrisome 

COLUMBIA, S.C.--The SADMERC's 23-page Power Mobility Device Coding Guidelines released last week provided the industry with descriptions of CMS' 64 new power wheelchair and scooter codes ...

Schwarz, Price Ask Congress to Repeal DRA Oxygen Policy 

Reps. Joe Schwarz, R-Mich., and Tom Price, R-Ga., have sent a "Dear Colleague" letter to other members of Congress urging them to co-sponsor a bill that would repeal the oxygen capped rental provision in the Deficit Reduction Act. ...

Industry Gathers on The Hill for Legislative Fly-In 

The American Association for Homecare expects hundreds of providers, patients and manufacturers at its legislative fly-in and advocacy effort on Capitol Hill today and Tuesday....

Industry Hits the Hill to Battle Oxygen Cap, Competitive Bidding 

WASHINGTON--At the American Association for Homecare's annual legislative fly-in next week, HME advocates plan to confront two daunting challenges: the Deficit Reduction Act's 36-month cap on home oxygen rental, and Medicare's coming competitive bid. ...

AAHomecare Lists Problems with Competitive Bidding NPRM 

WASHNGTON--AAHomecare recently outlined its top concerns with CMS' competitive bidding Notice of Proposed Rulemaking, published May 1 (see HomeCare Monday, May 1). According to the association: ...

Last Chance for Patient Choice Plans Congressional 'Marathon' 

WATERLOO, Iowa--Last Chance for Patient Choice will sponsor a series of visits at congressional offices around the country this summer. ...

Scully: Medicaid a Managerial Mess 

WASHINGTON--Former CMS Administrator Tom Scully said Medicaid is "managerially a mess" and that reform "is just not going to happen" because the program is too large and complex, CQ Healthbeat reported. ...

CMS Releases 64 New Power Mobility Codes 

BALTIMORE--Just a few minutes before 5 p.m. on Friday, CMS announced that it had posted information about the new HCPCS codes to be used for power wheelchairs beginning Oct. 1. ...

Bill Proposes to Strike Oxygen Provision from DRA 

WASHINGTON--In response to patient safety issues raised by the American Association for Homecare, the American Lung Association and other advocates, a bill introduced late last month in the House of Representatives would do away with the Deficit Reduction Act's mandate for oxygen capped rental. ...

Mobility Products to Pay $2.8 Million to Settle Fraud Allegations 

TAMPA, Fla.--Mobility Products Unlimited will pay $2.78 million to resolve civil fraud allegations, federal prosecutors announced May 25. ...

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