Via AAHomecare—WASHINGTON, D.C. (December 7, 2016)—This afternoon, the Senate passed H.R. 34, the 21st Century Cures Act (CURES) by a 94–5 margin. The bill's HME-related provisions remain unchanged from our summary last week; the bill's positive measures, its effect on future Medicaid reimbursement rates, and the road ahead are discussed in the President's Message that follows below.


WASHINGTON, D.C. (October 31, 2016)—CMS issued a final rule last week, covering end-stage renal care and changes to the DME competitive bidding program. Provisions of interest to the home medical equipment community include:

Bid Ceilings—Bid ceilings for future rounds will be based on the 2015 fee unadjusted fee schedule, instead of CMS's earlier proposal to establish bid ceilings at the current CBA pricing.

WASHINGTON, D.C. (October 6, 2016)—In honor of an innovative and dedicated champion of the HME community, the Homecare Champion Award presented each year at the Stand Up for Homecare reception will now be named the Van Miller Homecare Champion Award. This honor, which is presented for outstanding HME service, is being renamed to reflect the characteristics of HME visionary Van G. Miller, past CEO and founder of the VGM Group, Inc.


ATLANTA (September 7, 2016)—Team USA, the current and back-to-back World Cup Power Soccer champions, will play exhibition games at Medtrade on November 1 in Atlanta. Players will be introduced in the morning at the Washington Update session hosted by AAHomecare, where United States Representative Tom Price (R-Ga) has been invited to speak. Two full exhibition games, one in the morning and one in the afternoon, will be played on the show floor.

WASHINGTON, D.C (August 26, 2016)—Home medical equipment providers who serve our nation’s military personnel are being hit with shocking new Medicare reimbursement cuts thanks to the Centers for Medicare and Medicaid Services’ (CMS) decision to widely apply rates from its competitive bidding program outside its original footprint in metro areas to now encompass the entire country.


Responding to Reimbursement Cuts: Billing Non-Assigned and Other Options (An AAHomecare webinar)

Presented by: Jeff Baird, Brown & Fortunato

Wednesday, July 27, 2:30-4 p.m. EST

We now know what Medicare reimbursement is…and it is not pretty. The bottom line is that Medicare will pay as little as possible for DME. And yet, with 78 million baby boomers retiring at the rate of 10,000 per day, the demand for DME will dramatically increase.

WASHINGTON, D.C. (July 14, 2016)—Last year, AAHomecare began meeting with CMS’s CERT contractor oversight team to discuss efforts to lower the DMEPOS industry’s CERT error rate. In 2010, the DMEPOS CERT error rate was at an all-time high of 73.8 percent. As of 2015, the error rate has decreased to 39.9 percent. In an effort to better understand the driving force of the error rate, AAHomecare submitted a FOIA request for detailed data on the denial reasons.