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Standard No. 11: What the Changes Could Mean for You
In a special series for HomeCare Monday leading up to the March 25 deadline for comments, health care attorney Neil B. Caesar, president of the Health Law Center, Greenville, S.C., will help provide clarification and insight on CMS' proposed revision and expansion of the DMEPOS supplier standards....
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NPI, Other Deadlines Approaching
BALTIMORE--HME providers beware: As of March 1, Medicare claim submissions must contain a National Provider Identification number or an NPI/legacy pair in the required primary provider fields or the claim will be rejected, CMS officials emphasized during a national roundtable call on Wednesday. ...
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Count the Ballots for Home Care, New Survey Says
ARLINGTON, Va.--Seventy-eight percent of voters would pull the lever for congressional candidates who would strengthen Medicare coverage for power wheelchairs, oxygen devices, hospitals beds and other DME and services, according to a new survey. ...
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Small HMEs Ask, 'Do They Want to Put Everyone Out of Business?'
ATLANTA--While CMS is couching its revised DMEPOS supplier standards as enhanced tools for waging war on fraud and abuse, smaller providers see many of the changes as weapons of destruction aimed at eliminating them from the home medical equipment industry. ...
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AASM Weighs in on Proposed CPAP NCD
WESTCHESTER, Ill.--The comment period is closed, and a final decision is expected in March on CMS' draft proposal for changes to its National Coverage Determination on CPAP therapy for obstructive sleep apnea. But between now and then, CMS will have its hands full analyzing the remarks from commenters. ...
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Supplier Standard No. 1: What the Changes Could Mean for You
By all accounts, the effects of CMS' proposed revision and expansion of supplier standards for DMEPOS will be far-reaching. In a special series for HomeCare Monday leading up to the March 25 deadline for comments, health care attorney Neil B. Caesar, president of the Health Law Center, Greenville, S.C., will help provide clarification and insight on several provisions of the draft rule. ...
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CMS Tightens the Screws on Supplier Standards
WASHINGTON--For years, home medical equipment providers have been asking for further guidance on what many have called vaguely written supplier standards with inconsistent interpretation among inspectors and lax oversight. On Friday morning they got a response from CMS--in spades plus some. ...
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Provider Groups Go Green to 'Rock the Halls of Congress'
WASHINGTON--Hoping to countermand the numerous threats hovering on the home medical equipment horizon this year, four industry organizations are working together to get the message to Congress about the value of home care and the critical role HME plays. ...
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CMS Briefs Congress on NCB, Disses DME
WASHINGTON--On Tuesday, CMS held a congressional briefing on national competitive bidding. According to a report from the American Association for Homecare, senior CMS officials outlined the agency's work on the program and summarized efforts to expand bidding to another 70 areas. But they also "slammed the industry as a hotbed of fraud." ...
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Focus on Round Two, Roberts' Staff Tells MAMES Members
TOPEKA, Kan.--Rather than trying to beat a "done deal," HME providers should instead focus their efforts on delaying round two of competitive bidding, staff members for Sen. Pat Roberts, R-Kan., suggested during a meeting with members of the Midwest Association of Medical Equipment Dealers last week. ...
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Groups Back Invacare's Break with Scooter Store
ATLANTA--In an interview last week, Invacare's Lou Slangen, senior vice president, global sales and marketing, said the manufacturer's decision to halt power wheelchair sales to The Scooter Store "to me is a defining moment in the complex rehab business in how we look at servicing that patient and beneficiary." ...
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CMS' Round Two Announcement Puts the Accent on Fraud
ATLANTA--Poised for months to hear the details about Round Two of national competitive bidding, home medical equipment providers were knocked off their pins last week when CMS' long-awaited announcement appeared to spin the project as an anti-fraud initiative. ...
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Industry Reacts, Gears Up for Bidding in Next 70 MSAs
ATLANTA--Mandatory accreditation and Round Two of competitive bidding have been on the industry's radar for months, but the whirlwind of recent CMS announcements detailing dates and deadlines nevertheless stirred stakeholder reaction. ...
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CMS Ramps Up Competitive Bidding, Round Two
LOS ANGELES--In a press conference held earlier today, the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services announced the expansion of Medicare's DMEPOS national competitive bidding program. ...
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Maximum Comfort Loses CMN Decision on Government's Appeal
REDDING, Calif.--A federal appeals court has overturned a lower court's ruling that held a certificate of medical necessity was sufficient for Medicare to pay a claim for a power wheelchair, but the plaintiff in the case says he'll appeal the new ruling all the way to the U.S. Supreme Court. ...
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Stakeholders Push Ahead with Second Lawsuit to Stop NCB
CLEVELAND--As the clock ticks steadily toward the July 1 implementation date for national competitive bidding, industry stakeholders are making yet another bid to stop the project by filing a lawsuit on behalf of a small Ohio home medical equipment provider. ...
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Hoover Returns to Role as Medical Director for Cigna
ATLANTA--After more than two years in HME's private sector, Dr. Robert Hoover will reassume his role as a Cigna Government Services medical director when he takes over those duties for Jurisdiction C on Jan. 14. ...
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