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Washington Wit & Wisdom

A column decoding Washington policy, CMS moves and legislative developments for the HME industry.

  • Medicare Proposes to Raise Bid Ceiling

    Washington Wit & Wisdom
    Read More →: Medicare Proposes to Raise Bid Ceiling

  • Health Care Perspectives from the Presidential Candidates

    Washington Wit & Wisdom
    Read More →: Health Care Perspectives from the Presidential Candidates

  • Decoding CMS Referral Data

    In early October, the Centers for Medicare & Medicaid Services (CMS) released new data which provides a wealth of information related to durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) provided to Medicare beneficiaries via referrals from physicians and other health care professionals. The 2013 data set is called, “The Referring Provider Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Public Use File” and is part of CMS’s Medicare Provider Utilization and Payment Data set. The new data includes information on 385,915 referring providers, more than 100 million claims and $11 billion in Medicare allowed payments for calendar year 2013. The data is posted on the CMS website at cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicare-provider-charge-data/dme.html. The data set identifies individual providers who referred DMEPOS items and services using their National…
    Read More →: Decoding CMS Referral Data

  • Congress Focused on Home Health Care

    While Congress permanently fixed the perennial Medicare physician payment reform issue earlier this year, Congress has been consumed with a new and wide array of health and Medicare issues, including home health care, which will continue through the end of this year.
    Read More →: Congress Focused on Home Health Care

  • Frequently Asked Questions

    In December 2014, the Centers for Medicare and Medicaid Services (CMS) posted on the Web a “Frequently Asked Questions” (FAQ) document stating that when it implements its authority to apply bid rates in non-bid areas starting in January 2016, it will apply bid rates to certain complex rehab accessories (such as seat/back cushions, recline/tilt systems, or specialty controls) that have never been included in the Medicare DME bidding program.
    Read More →: Frequently Asked Questions

  • PMD Prior Authorization

    Will nationwide application be a reality later this year?
    Read More →: PMD Prior Authorization

  • Home Care is the Future of Health Care

    Policy discussions cement the move toward this trend
    Read More →: Home Care is the Future of Health Care

  • Improving the Medicare DME Bidding Program

    Answers to key questions about the legislation that will bring some relief to the bidding process
    Read More →: Improving the Medicare DME Bidding Program

  • Explore the Facts and Benefits of Medicare’s Suggested Prior Authorization System

    A positive policy proposal?
    Read More →: Explore the Facts and Benefits of Medicare’s Suggested Prior Authorization System

  • Manufacturer Bidding?

    The GAO identifies a series of significant issues that would need to be addressed before any manufacturer bidding program could occur.
    Read More →: Manufacturer Bidding?

  • The 2012 Budget Debate

    Stakes are high for Republicans, Democrats — and our future.
    Read More →: The 2012 Budget Debate

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