Medicare Reimbursement

The American Association for Homecare has release a brief synopsis of DME references within President Obama's 2016 budget, released Monday. According to the statement below, there are two... Read more >
WASHINGTON (Jan. 26, 2015)—Health and Human Services Secretary Sylvia M. Burwell announced measurable goals and a timeline to move the Medicare program, and the health care system at large,... Read more >
Minnesota spends $600 million plus on Medicare and up to 10 percent of that is fraudulent charges by the owners or employees who overbill for personal care attendant time. In response, my home care... Read more >
With the release of President Obama's FY2016 budget and the Supreme Court gearing up for the Affordable Care Act fray, there was no shortage of headline policy news in early February. HomeCare... Read more >
WASHINGTON (Jan. 6, 2015)—The U.S. District Court for the District of Columbia held that it has the power to hear a challenge to the validity of a Medicare rule that requires physicians to... Read more >
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) is changing the way it deals with medical equipment repairs. In response to complaints from patients across the nation, CMS has... Read more >
The implementation of competitive bidding and ongoing Medicare cuts and audits have had a devastating impact on many HME providers. As a result of these recent challenges, many HME companies have... Read more >
Those of us involved in various segments of health care know that the landscape is drastically changing and will continue to do so in the years ahead. The ways we have done business in the past may... Read more >
(Jan. 24, 2014)—According to Joint DME MAC A, a new HCPCS code, K0900, has been created for use with custom fabricated durable medical equipment other than wheelchairs. 42 CFR §414.224(a) describes... Read more >
The DME/HME market has experienced a great deal of consolidation due directly to Medicare reimbursement cuts from competitive bidding. Further cuts in 
2014 are expected from managed care/private... Read more >
ATLANTA (Dec. 30, 2013)—Another eventful year has come to a close with so many memorable moments. Distilling the biggest stories of 2013 is a function of hindsight, clicks and reader reaction.... Read more >
SILVER SPRING, Md. (Dec. 19, 2013)—The Food and Drug Administration is looking to shorten the time medical-device manufacturers wait before health plans will pay for products after they're approved.... Read more >
GOODLETTSVILLE, Tenn. (Dec. 3, 2013)—Medicare is taking back more than $200,000 it paid for complex rehabilitation wheelchairs that were delivered to 22 severely disabled Nashville area patients,... Read more >
On Nov. 22, CMS issued the final 2014 home health care payment rule. The final policies in this rule better align Medicare payments with home health agencies’ costs providing care, while lowering... Read more >
Three weeks ago, when I was asked to advise a client on how to apply for an Extended Repayment Plan, I turned to the Medicare Financial Management Manual (MFMM), expecting the same answer as recent... Read more >