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.
CMS
WASHINGTON, D.C. (November 19, 2015)—The Centers for Medicare & Medicaid Services (CMS) released a new report today showing that consumers have received more than $2.4 billion premium rebates since 2011 because the Affordable Care Act requires that health insurance companies spend at least 80 percent of premium dollars on health care. For 2014 alone, over 5.5 million consumers received nearly $470 million in rebates, for an average of $129 per family.
WASHINGTON, D.C. (November 18, 2015)—Hip and knee replacements are the most common inpatient surgery for Medicare beneficiaries and can require lengthy recovery and rehabilitation periods. In 2014, there were more than 400,000 procedures, costing more than $7 billion for the hospitalizations alone.
WASHINGTON, D.C. (NOVEMBER 11, 2015)—Today, the Centers for Medicare & Medicaid Services (CMS) announced the 2016 premiums and deductibles for the Medicare inpatient hospital (Part A) and physician and outpatient hospital services (Part B) programs.
Part B Premiums/Deductibles
WASHINGTON, D.C. (November 3, 2015)—The Centers for Medicare & Medicaid Services (CMS) released an interactive online mapping tool which shows geographic comparisons at the state, county, and ZIP code levels of de-identified Medicare Part D opioid prescription claims—prescriptions written and then submitted to be filled—within the United States.
The fee-for-service model is being replaced with collaborative care. Find out where you fit into this new system
WASHINGTON, D.C. (October 28, 2015)—The Hospital Value-Based Purchasing (VBP) Program adjusts what CMS pays hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they give patients.
WASHINGTON, D.C. (October 29, 2015)—Today, the Centers for Medicare & Medicaid Services (CMS) proposed to revise the discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities, critical access hospitals, and home health agencies, must meet in order to participate in the Medicare and Medicaid programs.
WASHINGTON D.C. (October 30, 2015)—The Centers for Medicare & Medicaid Services (CMS) issued final rules this week detailing how the agency will pay for services provided to beneficiaries in Medicare by physicians and other health care professionals in 2016 that reflects the administration’s commitment to quality, value, and patient-centered care.
Open Enrollment is just around the corner, and we’re ready to welcome consumers back to HealthCare.gov. Over the last few months, our team has been hard at work, applying lessons learned and taking steps to make enrollment quicker and smoother for both returning and new customers.
As the national competitive bidding rollout approaches, many HME providers are looking toward a more diversified payer mix
NASHVILLE (October 15, 2015)—TeamDME! announced today that Centers for Medicare/Medicaid Service (CMS) has begun returning paid ERAs for claims submitted with ICD-10 Diagnosis Codes. This confirms that clients using TeamDME! can get paid for claims with Dates-of-Service on/after Oct 1, 2015.
TeamDME! made the transition seamless by providing education on the conversion via newsletters and online webinars as well as providing tools to assist clients with the transition.
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.
AAHomecare is proud to announce a win for rehab suppliers on preserving miscellaneous codes!
WASHINGTON, D.C. (October 6, 2015)—The Centers for Medicare and Medicaid Services (CMS) has released a preliminary list of what they consider rural zip codes. The rural areas in these ZIP codes will receive a ten percent add-on when competitive bidding rates go into effect nationwide on January 1, 2016.
COLUMBIA, S.C. (October 6, 2015)—Providers have been anxious to see the final rates for the national pricing rollout scheduled to begin January 1, 2016. CMS posted the first of the preliminary files today, but still no final rates yet (October 6th).
WASHINGTON, D.C. (September 30, 2015)—Congressman Lee Zeldin (R-N.Y.) continues to seek co-sponsors for H.R. 3229, legislation to protect access to complex rehab wheelchair accessories by preventing the application of prices derived from the Medicare competitive bidding program. Currently, the co-sponsor tally stands at 18.
WASHINGTON, D.C. (September 28, 2015)—Monday, the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) announced a model to test strategies to improve medication use among Medicare beneficiaries enrolled in Part D. Medication therapy management, when implemented effectively, can improve health care and outcomes for patients and has the potential to lower overall health care costs.