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CMS Announces Round 2 Re-Compete for DME Bidding Program

Last week, CMS announced plans to re-compete the supplier contracts awarded in Round 2 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. By law, CMS is required to re-compete contracts under the DMEPOS bidding program at least once every three years. Under the program, DMEPOS providers bid against each […]

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Support Grows for Legislation to Improve Medicare Competitive Bidding

A new piece of proposed legislation that would reform the Medicare competitive bidding program to make it more equitable is being met with positive reception among government officials and industry leaders.  The Medicare DMEPOS Competitive Bidding Improvement Act, H.R. 4920, if passed, would make bids from suppliers to provide durable medical equipment, prosthetic and orthotic devices and […]

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CMS Proposal Would Cut $7 Billion in DMEPOS Payments

The Centers for Medicare & Medicaid Services (CMS) has proposed a rule that would cut Medicare reimbursements for durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS) by more than $7 billion from 2016 to 2020.  The proposed rule would create significant changes to Medicare coverage and payment policies for DMEPOS, including a methodology for adjusting […]

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Federal Judge Rules Breach of Contract in DME Bidding Suit

Medical supply company CardioSom, LLC has prevailed in its lawsuit against the U.S. government, paving the way for some 300 other providers to follow suit, HME News reports.  Chief Judge Patricia Campbell-Smith of the U.S. Court of Federal Claims recently ruled that the government was in breach of contract when it rescinded contracts in the original […]

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CMS Proposes Revisions to Face-to-Face Payment Claims

In response to growing pressure from health care organizations to revise its face-to-face encounter regulations, the Centers for Medicare & Medicaid Services (CMS) proposed changes Tuesday that would eliminate the narrative requirement in 2015. The proposed changes come on the heels of a lawsuit filed by the National Association for Home Care & Hospice (NAHC), which […]

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