Washington Wit & Wisdom

While Congress permanently fixed the perennial Medicare physician payment reform issue earlier this year, Congress has been consumed with a new and wide array of health and Medicare issues, including... Read more >
In December 2014, the Centers for Medicare and Medicaid Services (CMS) posted on the Web a "Frequently Asked Questions" (FAQ) document stating that when it implements its authority to apply bid rates... Read more >
In late January, the Office of Inspector General (OIG) issued "Medicare Paid Suppliers for Power Mobility Device Claims That Did Not Meet the Federal Requirements for Physicians' Face-to-Face... Read more >
A collective gasp was audible across the country when the Centers for Medicare and Medicaid Services (CMS) posted its final rule on Oct. 31, 2014, detailing how it would lower rates in non-bid areas... Read more >
If you’ve been paying attention to health care policy discussions recently, you can’t help but notice the increased focus on how public and private payers can better utilize healthcare in the home.... Read more >
In June, Reps. Pat Tiberi, R-Ohio, and John Larson, D-Conn. introduced a bill in the House of Representatives that could make dramatic improvements to the next round of bidding scheduled for early... Read more >
In late May, the Centers for Medicare and Medicaid Service (CMS) announced a proposal to implement a prior authorization (PA) program for certain DMEPOS items. Published in the May 28 issue of... Read more >
The Centers for Medicare and Medicaid Services (CMS) released its Advance Notice of Proposed Rulemaking on Feb. 26, 2014, and it’s safe to say that no one anticipated CMS would be proposing to scrap... Read more >
On Monday, Jan. 27, 2014, a group of Republican senators—Sens. Richard Burr (NC), Tom Coburn (OK), and Orrin Hatch (UT)—announced an alternative to the Affordable Care Act called the Patient Choice,... Read more >
MPP on Capitol Hill—The industry made tremendous progress in 2013 in garnering the support of 160 Representatives (37 percent of the House) signing on in support of H.R. 1717, the Medicare DMEPOS... Read more >
With the government shutdown, business on Capitol Hill has been far from usual. The budget/debt limit controversies are still not resolved; they have only been extended a few months, so we may well... Read more >
Embedded in its annual proposed payment rule for End Stage Renal Disease (ESRD) providers, the Centers for Medicare and Medicaid Services (CMS) issued on July 8, 2013, a proposed regulation to... Read more >
At press time, the Centers for Medicare & Medicaid Services (CMS) announced a three month “enforcement delay” of the July 1, 2013 start date for implementing the new regulation... Read more >
On March 4, 2013, Representatives Jim Sensenbrenner (R-WI) and Joe Crowley (D-NY) introduced in the U.S. House of Representatives a bill that would create a separate Medicare benefit category for... Read more >
It really is now or never. And what I mean by that is if we don’t all take responsibility right now to make sure every member of Congress understands what will happen if the 45 percent (on... Read more >