Washington, D.C.—U.S. Senator Bob Casey (D-PA) joined 21 Senators in a request to the Biden Administration to publicize the effect of the Inflation Reduction Act’s Medicare Part B inflation rebate on coinsurance in the program.
AAHomecare and oxygen stakeholders joined major respiratory associations in asking HHS to protect access to respiratory products for patients who qualified for care under relaxed guidelines during the COVID-19 Public Health Emergency (PHE).
The Centers for Medicare & Medicaid Services (CMS) released a proposed national coverage determination (NCD) decision that would, for the first time, expand coverage for power seat elevation equipment on certain power wheelchairs to Medicare individuals. The proposed NCD is open for public comment for 30 days.
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) has issued additional provider-specific guidance for the winding down of the COVID-19 public health emergency, which is set to end May 11.
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) has added 10 HCPCS codes to the list of those that require face-to-face encounter and a written order, bringing the total up to 63 codes, according to VGM Government Relations.
The new codes, all for back, knee and ankle or foot braces, are:
WASHINGTON, DC—The Centers for Medicare & Medicaid Services (CMS) should require hospice care providers to report all allegations of abuse and neglect immediately to survey agencies, regardless of whether the alleged perpetrator is affiliated with the hospice, the Government Accountability Office (GAO) urged in a new report.
The Department of Health and Human Services neither agreed nor disagreed with GAO's recommendation.
OAKBROOK TERRACE, Illinois–The Joint Commission announced it is eliminating 168 standards, or 14% overall, and revising 14 other standards across its accreditation programs to streamline requirements and make them as efficient and impactful on patient safety, quality and equity as possible. That includes deleting 10 homecare standards and revising one.
The first tranche of standards deletions and revisions by program, effective Jan. 1, 2023, include:
WASHINGTON (December 20, 2022)—Most of the providers who were enrolled in Medicare under COVID-19-related waivers and then had their enrollments revoked were durable medical equipment, prosthetics and orthotics (DMEPOS) suppliers, according to a new report from the Government Accountability Office (GAO).
WASHINGTON (December 7, 2022)—The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that it says would improve interoperability and streamline processes related to prior authorization for medical items and services.
WASHINGTON (December 2, 2022)—The Centers for Medicare & Medicaid Services have published a new Oxygen and Oxygen Equipment LCD and related
BIRMINGHAM, Alabama (November 11, 2022)—The Centers for Medicare & Medicaid Services (CMS) has published a clarification regarding medical review audits after the public health emergency (PHE) ends. This is the first public guidance CMS has published regarding audit
WASHINGTON, D.C. (November 1, 2022)—The Centers for Medicare & Medicaid Services (CMS) released its final rule for Medicare home health payments on October 31, settling on a rate reduction of 3.925% for 2023 with additional cuts to come in 2024. That's less than the 7.69% cut initially proposed by the agency for 2023, but still a blow to providers, according to industry advocates.
WASHINGTON, D.C. (October 6, 2022)—As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing work to improve access to care, reduce clinician burden, and support interoperability throughout the health sector, CMS has released a Request for Information (RFI) seeking public input on the concept of CMS creating a directory with information on health care providers and services or a “National Directory of Health Care Providers and Services” (NDH).
WASHINGTON, D.C. (October 4, 2022)—The Centers for Medicare & Medicaid Services (CMS) announced that Nov. 6, 2022, is the last day that the National Supplier Clearinghouse (NSC) will process Medicare enrollment applications for durable medical equipment, prosthetics and orthothics (DMPOS) suppliers.
WASHINGTON, D.C. (October 4, 2022)—On Sept. 29, 2022, the Centers for Medicare & Medicaid Services (CMS) released the list of Medicare Advantage (MA) plans that will participate in the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model during Calendar Year (CY) 2023, including those that will participate in the MA VBID Hospice Benefit Component (an offshoot of the larger VBID model which began operation in January 2021).
WASHINGTON, D.C. (September 22, 2022)—The United States Department of Health and Human Services (HHS), through its Administration for Community Living, released the 2022 National Strategy to Support Family Caregivers. It highlights nearly 350 actions the federal government will take to support family caregivers in the coming year and more than 150 actions that can be adopted at other levels of government and across the private sector to build a system to support family caregivers.
WASHINTON, D.C. (September 9, 2022)—More than 1,700 Medicare providers have indications that they fraudulently billed Medicare for telehealth services, according to a new report from the Department of Health and Human Services (HHS) Office of Inspector General (OIG). These providers billed telehealth services for about half a million beneficiaries and received a total of $127.7 million in Medicare fee-for-service payments.
WASHINGTON, D.C. (August 30, 2022)—The Centers for Medicare & Medicaid Services (CMS) is seeking public comments on various aspects of the Medicare Advantage (MA) program. The American Association for Homecare (AAHomecare) is submitting comments for the request for information, due on Wednesday, Aug. 31. The association is asking industry stakeholders to add their comments to ensure better oversight of these plans and maintain strong access for home medical equipment (HME) suppliers.
WASHINGTON, D.C. (August 30, 2022)—The Consolidated Appropriations Act of 2021 required the Centers for Medicare & Medicaid Services (CMS) to implement various hospice survey reforms. In the CY 2022 Home Health Prospective Payment System (HH PPS) final rule, CMS addressed these reforms, including development of a hospice special focus program (SFP).
