CMS Imposes First-Ever Home Health Moratorium

In its latest efforts to combat fraudulent billing behavior, the Centers for Medicare & Medicaid Services (CMS) has imposed the first Affordable Care Act (ACA) moratorium to bar the enrollment of new home health providers in the federal program. “The goal of the temporary moratoria is to fight fraud and safeguard taxpayer dollars, while enduring […]

CMS Proposes Sweeping Cuts to Home Health Payment System

The Centers for Medicare & Medicaid Services (CMS) look to eliminate nearly 200 payment codes from the current Home Health Prospective Payment System (HH PPS).  The proposed rule would remove 170 codes from the HH PPS Grouper when it takes effect January 1, 2014, as part of the federal agency’s work to transition from the […]

CMS Drops a Third of Tenn. DME Providers After Licensing Issues

The Center for Medicare & Medicaid Services (CMS) dropped nearly a third of durable home equipment (DME) suppliers from participating in Round 2 of its competitive bidding program, leaving even fewer providers for Tennessee beneficiaries, according to an article from The Tennessean. The 30 out-of-state contracts were voided because the DME providers that had won […]

Lawmakers Introduce Bill to Delay Round 2 of DME Bidding

U.S. Representatives are moving forward with a new bill that looks to delay the start of Round 2 of the Centers for Medicare & Medicaid Services’ (CMS) competitive bidding program for durable medical equipment (DME). Last week, Reps. Glenn “GT” Thompson (R-PA) and Bruce Braley (D-IA) introduced H.R. 2375 after a letter—signed by 227 Members […]

CMS Updates Provider Guidance In Advance of New July 1 DME Rules

The Centers for Medicare & Medicaid Services today released updated guidance on its durable medical equipment Medicare reimbursement program, which faces new requirements to go into effect on July 1.  In advance of the new rule, which instructs DME MACs to implement requirements for detailed written orders for face-to-face encounters conducted by the physician, PA, NP or CNS for […]

CMS Revokes 14,000 Medicare Licenses Under ACA, To Date

In just two years after the implementation of the Affordable Care Act (ACA), the number of Medicare license revocations more than doubled compared to preceding years, according to data released by the Centers for Medicare & Medicaid Services (CMS). Since March 2011, CMS has revoked 14,663 providers’ and suppliers’ ability to bill in the Medicare program. […]

Competitive Bidding Round 2 Draws DME Non-Compliance

On the heels of an announcement last week that Tennessee providers of durable medical equipment (DME) are skirting the Centers for Medicare & Medicaid Services (CMS) Competitive Bidding rules, such non-compliance appears to be a nationally widespread issue. Medicare mandates that DME providers who have submitted bids for Round 2 of the bid program are […]

CMS Deadline Approaches for Grandfathering DME Suppliers

Durable medical equipment (DME) suppliers without a contract from the Centers for Medicare & Medicaid Services (CMS) have until May 20, 2013 to send notifications to the Medicare beneficiaries they serve regarding their decision to be a grandfathered supplier for clients who live in a competitive bidding area and are currently renting competitively-bid DME. “Non-contract […]

CMS Warns Beneficiaries of DME Provider Change

The Centers for Medicare & Medicaid Services (CMS) began sending emails last week to notify patients of the impending Round 2 of its Competitive Bidding program. CMS also sent emails to providers of home medical equipment (HME), notifying them that the agency would also be reaching out to patients, HME Business reports. The messages describe […]

Anti-Competitive DME Bidding Bill Gaining Momentum, Sponsors Increase

The bill that would put an end to Round 2 of the Centers for Medicare & Medicaid Services’ (CMS) Competitive Bidding program has been gaining momentum in the House. Only two weeks after its introduction by Rep. Tom Price, M.D. (R-Ga.) and Rep. John Larson (D-Conn.), H.R. 1717 has garnered the support of 19 House […]