Funding


HHS to Open Aid Reporting Portal

Providers that received more than $10,000 from the Provider Relief Fund will have to report to the agency via a portal by Feb. 15.

Industry Continues Driving for H.R. 2771 Support

Advocates have convinced 81 lawmakers to back a bill extending rural and non-bid area relief, as well as protecting oxygen funding, but are calling on providers to help get more.

Surgical Dressing and Knee Orthosis Codes Could See Post-Pay Reviews

The review from CGS is the result of errors and high payouts for four codes, and should impact claims filed prior to the COVID-19 PHE.

Medicare Claims Audits: They’re Ba-aack

Audit expert Wayne van Halem joins the HME Business podcast to discuss how CMS will phase its audits back in, and how providers should prepare.

New Bill Aims to Fix Rural Oxygen Payment Disparity

H.R. 8158 would address the fact that rates for oxygen concentrators in some rural areas are significantly lower than rates in competitive bidding areas.

Providers Urged to Help Drive H.R. 2771 Support

Bill that would extend rural and non-bid area relief, as well as protect oxygen funding, currently sits at 79 co-sponsors — and needs more.

Signature Deadline for House CRT Letter Pushed to Sept. 18

Providers called on to redouble efforts to get their Representatives to sign Congressional letter urging CMS to stop basing reimbursement for manual CRT accessories on competitive bidding rates.

AAHomecare Presses Anthem on Rates

After insurer cut reimbursement in July despite COVID-19 costs, HME association highlighted the disparity between Anthem’s funding and Medicare’s rates for HME during the health emergency.

UHC Fixes Uninsured Patient Funding Problem

A system error that was rejecting DME claims for uninsured patients under the CARES Act has been addressed.

HSS Pushes Provider Relief Application to Sept. 13

Agency extends the application deadline for Phase 2 General Distribution after expanding eligibility for the funds.



Joining the Fight to Protect Manual CRT Users

NCART's Don Clayback joins the HMEB Podcast to explain how providers can quickly and easily help protect funding for manual CRT accessories by convincing their lawmakers to sign a letter to CMS before the deadline.

Funding

Knowing the Latest Relief Details

More specifics have emerged on expanded Phase 2 of CARES provider relief. Make sure you know the options available to you.

Observation Deck

Return of the Audits

The news that CMS planned to resume audits by Aug. 3 took many by surprise. Then CMS said it would resume audits in a phased approach. What are the details and what can providers expect?

AAHomecare Rounds up Industry Issues in Play

While COVID-19 is at the fore of the industry’s mind, the next four months offer the industry to notch some policy wins on non-bid area rates, taxes on Cares relief, and CRT accessories

HHS Pushes Deadline for Medicaid/CHIP Relief to Aug. 28

Agency extends application deadline for Medicaid providers and plans to reopen portal to certain Medicare providers from Aug. 10 until Aug. 28.

Prochant Expands Into Infusion Pharmacy 

The company pairs a new service line with the hire of a new VP of Business Development and Pharmacy Reimbursement Manager.

Report: COVID-19 Will Push Long-Term Telehealth Use in Medicare

Research effort shows telehealth use has skyrocketed more than 12,000% from before the public health emergency to the end of April, and Medicare Advantage is seeing a lot of that growth.

HHS’s COVID-19 PHE Extension Brings Continued Relief

The 90-day extension means continued CARES Act relief, relaxed regulations from CMS and state Medicaid programs, as well as from other payers.

NEMEP Unveils New Board of Directors & Virtual Meeting Agenda

The new event takes place Sept. 28-Oct.2 and will be provided free of charge for members and non-members. The new board includes varied members from across the region.

PAMS Secures COVID-19 Hazard Pay Eligibility for HMEs

After outreach from the association, the state includes HME providers in a special frontline health worker grant program that increases workers’ hourly wages for 10 weeks.

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