CMS

WASHINGTON—During a Ways & Means Committee hearing that examined opportunities and challenges in enhancing access to care in patients’ homes and modernizing care in rural and underserved communities, U.S. Rep.

WASHINTON and ALEXANDRIA, Virginia—Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO)

FARGO, North Dakota—Noridian Healthcare Solutions, LLC (Noridian), a developer of solutions for federal, state and commercial health care programs, announced the re-award of the Durable Medical Equipmen

BOSTON—Myomo, Inc. (Myomo or the Company), a wearable medical robotics company that offers increased functionality for those suffering from neurological disorders and upper-limb paralysis, today announced that on February 29, 2024, the Centers for Medicare & Medicaid Services (CMS) posted the final Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule payment rates for the MyoPro.

WASHINGTON—The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), released a Request for Information (RFI) to solicit feedback from the public on how best to enhance Medicare Advantage (MA) data capabilities and increase public transparency. 

GREENVILLE, South Carolina—Jeffrey Brooks, 40, of Clarence Center, New York, was sentenced to more than seven years in federal prison after pleading guilty to one count of conspiracy to commit health care fraud. In addition to Brooks’ criminal conviction, last year, Brooks paid $850,000 in a civil settlement to resolve allegations that he provided kickbacks and caused false claims to be submitted in violation of the federal False Claims Act.

WASHINGTON—The Medicare Payment Advisory Commission (MedPAC) voted on Jan. 11 to recommend that Congress reduce 2025 home health payment rates by 7%.

While the move was expected, advocates and the National Association for Home Care & Hospice (NAHC) still voiced their disappointment at the guidance. 

OWINGS MILLS, Maryland—The Centers for Medicare and Medicaid Services (CMS) Lymphedema Treatment Act (LTA) Final Rule, which outlines coverage for compression garments and related accessories through Medicare Part B, went into effect Jan. 1, 2024.

WASHINGTON—On Monday, Nov. 6, the Biden-Harris Administration proposed steps to fix Medicare Advantage's (MA) use of prior authorization as well as curb predatory marketing within MA plans.

WASHINGTON— In what was called a "big win" by the American Association for Homecare (AAHomecare) the Centers for Medicare & Medicaid Services (CMS) published a change request (CR) directing DME MACs to adjust their local edits to allow for 90-day billing for continuous glucose monitor (CGM) supplies to align with blood glucose monitor supplies.

MIAMI—A federal jury in Miami convicted a Florida man and woman for their roles in a conspiracy to defraud Medicare by billing more than $93 million for home health therapy services that were never rendered.

WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) announced that beginning Monday, Oct. 9, 2023, all durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) provider enrollment appeals and rebuttals should be sent to 

BOSTON—The owner of Conclave Media (Conclave) and Nationwide Health Advocates (Nationwide) pleaded guilty in connection with a $44 million telemedicine fraud scheme involving medically unnecessary durable medical equipment (DME), including orthotics such as back and knee braces and genetic tests. 

MIAMI—A defendant, who was previously convicted of money laundering, was sentenced to a total of 90 months in federal prison for his recent money laundering conviction. 

WASHINGTON—The Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), finalized a rule to streamline enrollment in the Medicare Savings Programs (MSPs), making coverage more affordable for an estimated 860,000 people. CMS estimates the improvements will save older adults and people with disabilities nearly 19 million hours in paperwork each year and reduce state administrative burden by more than 2 million hours annually.

WASHINGTON—Home health agencies didn’t report more than half of the falls that Medicare home health patients hospitalized for falls with major injury experienced, according to a new study by the Department of Health and Human Services Office of the Inspector General (OIG).

WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) unveiled a new payment model that will give states  more flexibilities in how they manage health care, and could ultimately shift focus to home- and community-based services. The States Advancing All-Payer Health Equity Approaches and Development Model (“States Advancing AHEAD” or “AHEAD Model”) aims to better address chronic disease, behavioral health and other medical conditions.

The Centers for Medicare & Medicaid Services (CMS) released an announcement on efforts to support Florida’s emergency response to Hurricane Idalia, including resources and flexibi

WASHINGTON—The methodology chosen to determine future home health payment rates "will eventually destroy the value of the home health services benefit," the National Association for Homecare and Hospice (NAHC) said in a letter sent to the Centers for Medicare & Medicaid Services (CMS). 

MINNEAPOLIS, Minnesota—Reprise Biomedical, Inc., an innovator in medical biotechnology for wound care, announced the Centers for Medicare and Medicaid Services (CMS) has assigned a Level II Healthcare Common Procedure Coding System (HCPCS) code to its Miro3D wound matrix, effective Oct. 1, 2023.