CMS will discontinue the need for certificates of medical necessity and DME information forms, starting with claims with a date of service on or after Jan. 1, 2023.
Podcast
What is vertical integration and how could it impact HME providers? Payer relations expert Laura Williard discusses the trend and the strategies being developed for dealing with it.
- By David Kopf
- May 02, 2022
As the Assembly Ways & Means Committee and the Senate Finance Committee review companion bills, Empire State providers are urged to support the legislation.
Observation Deck
Success on H.R. 6641 could have wide-ranging impacts on DME reimbursement across a spectrum of payers far beyond Medicare. It’s essential that providers help raise the visibility of the bill.
The public health emergency, as well as the regulatory relaxations and reimbursement guidelines associated with it, will continue for another 90 days.
Podcast
Kim Brummett of AAHomecare breaks down how the next round of competitive bidding might play out, what CMS might do, and where the program might be headed in the future.
- By David Kopf
- Apr 07, 2022
Provider Strategy
Here's a rundown of the compliance requirements providers must remember to keep at the top of their minds.
- By Jeffrey S. Baird
- Apr 01, 2022
The Ohio Department of Medicaid can now distribute Federal relief for Home and Community-Based Service providers, including DME suppliers.
The Pennsylvania provider association’s April 20-22 in Harrisburg features a variety of educational sessions and a golf tournament.
After 13 years of reimbursement and policy work, the longtime CRT advocate will vacate the association’s leadership position in September.
AAHomecare calls on HME stakeholders to meet with lawmakers and staff in person, over the phone, or via video on behalf of Medicare reimbursement legislation.
Podcast
AAHomecare’s Jay Witter details the legislative efforts to secure 90/10 reimbursement for Round 2021’s 13 uncontracted categories and extend the 75/25 blended rate for non-rural, non-CBA suppliers.
- By David Kopf
- Mar 24, 2022
Association builds support for H.R. 6641 and works with Senate contacts on approaches to preserve the current 75/25 blended rate for non-rural, non-CBA suppliers beyond the end of the Public Health Emergency.
NEMEP calls on HME stakeholders to ask their Senate and Assembly members to sign on to A.5368 and S.5118 to require MCOs to reimburse DME claims at state rates.
Ten Florida residents were indicted for various crimes involving fraudulent claims to Medicare for medically unnecessary durable medical equipment and genetic tests.
The position will work closely with the association’s senior payer relations team to support the development of state-level payer relations strategy, as well as advocacy efforts.
The majority of those surveyed also said insurers should not require patients to use pharmacies owned by the insurer.
Podcast
How well do you understand CMS’s Covid-19 vaccine mandate when it comes to DME suppliers and DME pharmacies? Are you sure?
- By David Kopf
- Feb 28, 2022
The House reconvening next week creates a window of opportunity to get co-sponsors for the 90/10 reimbursement bill.
Legislation in both chambers of sunshine state’s legislature would set minimum MCO reimbursement at Florida’s current Medicaid DME fee schedule.