WASHINGTON, D.C. (June 29, 2016)—On June 24, CMS issued a proposed rule that would update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2017. This rule also proposes new quality measures to improve the quality of care by dialysis facilities treating patients with end-stage renal disease.
DMEPOS
WASHINGTON, D.C. (June 24, 2016)—The Centers for Medicare & Medicaid Services (CMS) announces the release of the July 2016 Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule amounts. The fee schedule amounts are available here.
WASHINGTON, D.C. (June 9, 2016)—When the Medicare program implements changes to how it pays for medical care or equipment, CMS monitors to make sure that any adjustments meet our goals of preserving access to care and facilitating better health outcomes for Medicare beneficiaries.
WASHINGTON, D.C. (May 5, 2016)—The Centers for Medicare & Medicaid Services (CMS) announced the Round 2 Recompete and national mail-order recompete contract suppliers for Medicare’s Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program.
WASHINGTON, D.C. (January 7, 2016)—On December 29, 2015, CMS published the final rule to Medicare Program: Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. This comes a year and a half after the proposed rule, which came out on May 28, 2014. Originally CMS proposed that the timeframe for a response to a prior authorization request would be made within 10 days or two days for expedited requests.
WASHINGTON, D.C. (November 24, 2015)—On November 23, the Centers for Medicare & Medicaid Services (CMS) announced the release of the 2016 Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule amounts.
As part of the Administration’s efforts to make our healthcare system more transparent, affordable, and accountable, the Centers for Medicare & Medicaid Services (CMS) has posted a new data set as part of the Provider Utilization and Payment files.
In addition to changing rates in non-bid locations, CMS plans to lower certain rates based on regional calculations, all under the guise of streamlining the bid program
Though far from common, OIG subpoenas are increasingly appearing in DMEPOS locations
Answers to key questions about the legislation that will bring some relief to the bidding process
A positive policy proposal?
Incorporate these four approaches to respond to an evolving marketplace
Assist physicians with their enrollment to provide payments rather than denials
People for Quality Care articulates the impact competitive bidding has on beneficiaries
If you know what you're dealing with, you can avoid or reverse K0858 denials
The latest CMS challenge involves resupply regulations and contacting patients
HME providers will need more than an umbrella to survive the audit storm