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CMS/Medicare

News and analysis of CMS rules, Medicare policy and reimbursement changes affecting HME providers and home health agencies.

  • Annual Education Requirements

    Prepare early for the training CMS requires of all HME/DME technical staff
    Read More →: Annual Education Requirements

  • The Irresistible Force

    A call to arms for the future of the HME/DME industry
    Read More →: The Irresistible Force

  • Latest CMS/Medicare News

  • Presidential Priorities

    Understand the competing Medicare and Medicaid plans
    Read More →: Presidential Priorities

  • PMD Prior Authorization

    The demonstration is a step in the right direction
    Read More →: PMD Prior Authorization

  • Medicare Advantage & Medicaid

    Do federal anti-fraud statutes and supplier standards apply?
    Read More →: Medicare Advantage & Medicaid

  • Facing the Facts

    Understanding the new Medicare face-to-face requirement
    Read More →: Facing the Facts

  • New Opportunities in Portable Power

    With the right approach, portable power products represent an exciting new revenue stream
    Read More →: New Opportunities in Portable Power

  • HME Goes Retail

    Pennsylvania provider ArmsCare chooses customer service over Medicare
    Read More →: HME Goes Retail

  • Shifting Insurers and the A7031 CPAP Interface

    As patients become eligible for Medicare, they may be using equipment paid for by previous primary insurance.
    Read More →: Shifting Insurers and the A7031 CPAP Interface

  • At Odds Over Plummeting Claims

    CMS vs Cramton
    Read More →: At Odds Over Plummeting Claims

  • CO 50: Non-covered services not deemed a medical necessity

    CO 50, the sixth most frequent reason for Medicare claim denials, is defined as: non-covered services because this is not deemed a medical necessity by
    Read More →: CO 50: Non-covered services not deemed a medical necessity

  • CO57: Payment denied/reduced

    The No. 3 denial reason code from Medicare among HME providers as reported by RemitData is CO57: Payment denied/reduced because the payer deems the information
    Read More →: CO57: Payment denied/reduced

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