The eight recommendations are designed to be incorporated into contracts between health plans and home and alternate site infusion providers.
- By David Kopf
- Feb 09, 2023
Those involved acquired patient referrals and signed doctors’ orders by paying kickbacks to marketers who used overseas call centers to solicit Medicare beneficiaries for unneeded DME.
- By David Kopf
- Feb 09, 2023
Biden Administration announces an end to the public health emergency that goes beyond its current April 11 cut-off.
- By David Kopf
- Feb 02, 2023
A pair of legislative efforts would raise Medicaid reimbursements in the state and authorize Medicaid coverage of CRT wheelchairs for patients living in nursing facilities.
- By David Kopf
- Jan 26, 2023
An ALJ has overturned all disputed claims from a 2021 HHS OIG report, and Medicare Administrative Contractors have returned 100 percent of the recouped funds to the provider.
- By David Kopf
- Jan 26, 2023
A total of $136 Billion in TRICARE Managed Care Support Contracts will be split between two major health contractors.
- By David Kopf
- Jan 19, 2023
Industry Roundtable
Experts discuss key trends, challenges and opportunities that will impact HME providers and how those businesses can respond to them.
- By David Kopf
- Jan 12, 2023
The association’s Federal policy agenda includes further extending the 75/25 blended rates, advancing the 90/10 blended rates in CBAs, and more.
- By David Kopf
- Jan 12, 2023
Podcast
CMS has intensified its scrutiny of Medicare Advantage health plans, and in turn those plans are auditing HME businesses. How should providers respond?
- By David Kopf
- Jan 12, 2023
The public health emergency’s reimbursement and regulatory policies impacting HME providers will continue until April 12.
- By David Kopf
- Jan 12, 2023
DOJ apprehends a New York woman for allegedly offering and paying illegal health care kickbacks for false orthotic braces and continuous glucose monitors claims, as well as money laundering.
- By David Kopf
- Jan 05, 2023
The year-end bill to fund the government includes key HME reimbursement provisions. The legislation now goes to the Pres. Biden to be signed into law.
- By David Kopf
- Dec 23, 2022
As Congress now moves vote on the year-end budget package, the legislation includes language concerning key HME reimbursement objectives.
- By David Kopf
- Dec 20, 2022
Association tabulates average rate increase for the top 25 DME items impacted by CMS’s recently announced 2023 fee schedule.
- By David Kopf
- Dec 14, 2022
The new schedule reflects the 6.4% to 9.1% CPI-U and bidding-related adjustments CMS released on Dec. 1.
- By David Kopf
- Dec 13, 2022
With the clock ticking, association urges HME providers to tell their Senators and Representatives to include critical DME reimbursement provisions in any year-end omnibus spending legislation.
- By David Kopf
- Dec 08, 2022
AAHomecare provides a point-by-point breakdown of the new LCD, which goes into effect Jan. 1, 2023.
- By David Kopf
- Dec 01, 2022
The 6.4% to 9.1% increases are much larger than typical CPI-U modifications and should help providers contend with costs. However, advocates say more needs to be done.
- By David Kopf
- Dec 01, 2022
The legislation would require CMS to reimburse the cost of compression garments needed for ongoing lymphedema treatment.
- By David Kopf
- Nov 17, 2022
AAHomecare calls on HME providers to tell their Senators and Representatives to include two key DME reimbursement provisions in any year-end omnibus spending legislation.
- By David Kopf
- Nov 17, 2022