Washington Outlook

Congress is currently on its annual summer recess. This provides a great opportunity to schedule a local office meeting or, better yet, a site visit to your company to educate them on the challenges... Read more >
CMS's three-year Power Mobility Device (PMD) prior authorization demonstration is scheduled to expire Sept. 1 unless CMS or Congress take action later to continue what many have indicated is a... Read more >
In November 2014, CMS issued Final Rule 1614-F, which contains provisions relating to the DME competitive bidding (CB) program and how CMS plans to roll out competitive bid pricing in non-bid areas.... Read more >
Late last year, our industry was very close to securing legislative relief from competitive bidding. Although the proposed legislation was unsuccessful, support has never been stronger to address... Read more >
As expected, Medicare published the “End Stage Renal Disease Prospective Payment System, Quality Improvement Program, and Durable Medical Equipment (DME) Prosthetics Orthotics and Supplies” final... Read more >
The Center for Medicare and Medicaid Services (CMS) has added 12 more states to the Prior Authorization (PA) demonstration for Power Mobility Devices (PMD). While there were some challenges and... Read more >
Congress is currently on its annual summer recess until after Labor Day. This provides a great opportunity to schedule a local office meeting or, better yet, a site visit for your Representative or... Read more >
Audits and the need to reform the process has clearly become the industry’s top issue. The number of 
Medicare audits and the growing backlog at the Administrative Law Judge (ALJ) level, which now... Read more >
One of the many issues considered as a part of fixing the flawed physician payment formula or Sustainable Growth Rate, also known as the doc fix, is a provision to expand the power mobility device (... Read more >
Late last year Congress developed legislation to permanently fix the flawed Sustainable Growth Rate (SGR) physician payment formula, which historically results in reductions to physician payments... Read more >
Support continues to build in the House and Senate for legislation H.R. 942 and S. 948, respectively, to create a separate benefit category for complex rehab technology (CRT) within the Medicare... Read more >
Congress left Washington on Aug. 2 for a five-week “constituent work week” in their states/districts without taking the action necessary to stop the Medicare bidding program. This is a... Read more >
The battle to overturn the Medicare bidding program is gaining strength every day. We are amassing more artillery and the level of support from within Congress is continuing to build for the Market... Read more >
The good news is that Congress is hearing from home medical equipment providers, consumers and other stakeholders concerned about the impact that will result if the Round 2 Medicare bidding program... Read more >
On Sept. 1, Medicare implemented a power mobility device (PMD) prior authorization demonstration project in California, Florida, Illinois, Michigan, New York, North Carolina and Texas. It applies... Read more >