Tag: National competitive bidding
CMS announces gap period in bid program
May 25, 2023HME News Staff
WASHINGTON – CMS has announced there will be a temporary gap period in the DMEPOS competitive bidding program, when the current Round 2021 contracts for off-the-shelf back and knee braces expire on Dec. 31, 2023.
During the gap period, which starts on Jan. 1, 2024, suppliers may furnish items and services to patients under the following payment rules:
Adjusted fees in former competitive bidding areas (CBAs) are based on 100% of the single payment amount for the CBA increased...
New reimbursement data just in from CMS. Oxygen took a big hit in 2009
August 18, 2010Mike Moran
We just requested a whole bunch of data from CMS, and it has begun to trickle in. The data below is DMEPOS spending for the product categories that make up all of "Medical Equipment and Supplies."
The most interesting data here relates to oxygen spending, which dropped by $800 million in 2009 compared to 2008, from $2.8 billion to $2 billion. Looks like the oxygen cap and 9.5% cut, which took effect Jan. 1, 2009, played out the way CMS hoped they would.
Without further ado, here's the data. The dollar...
Ensure survival through change
March 16, 2010Don Clayback
It's old news now that complex rehab companies are under the gun. For example, while they received an exemption from national competitive bidding, they also got hit with a 9.5% Medicare reduction effective Jan. 1, 2009. Unfortunately, there is neither a silver bullet nor a great business secret that can be used to solve the challenges stemming from reimbursement reductions. Companies have been forced to look at a variety of changes to ensure survival.
Here are some things companies have done or...
Canadian oxygen providers feel your pain: "We're shocked by the lack of understanding"
December 8, 2009Mike Moran
I ran across this headline today on the Canadian NewsWire: "Ontario oxygen vendors shocked by lack of understanding of the Home Oxygen Program by the Auditor General's Office."
Our northern neighbors labor under the same misperceptions as do U.S. home respiratory providers. Specifically, it seems that that Canadian government doesn't understand that a whole bunch of services go into providing patients oxygen therapy.
Imagine that.
Canadian providers want to make one thing clear: "Ontario's home oxygen...
Keep your friends close and your enemies closer, or something like that
September 16, 2009Mike Moran
AAHomecare is in a difficult position. It is the industry's national association, yet it has a relatively small membership. As such, non-members are often prone to question the association's motives on a variety of issues.
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Most recently, as we all know, the issue has been oxygen reform.
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How best to reform Medicare's oxygen benefit has divided the industry for months. In August, a compromise...
AAHomecare lays out vision for Medicare oxygen
September 14, 2009Mike Moran
The following letter from AAHomecare is of critical importance to all HMEs who provide Medicare oxygen. If you want to find out what oxygen reimbursement could look like in the future, read on. —Mike Moran
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From Tyler Wilson
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September 14, 2009
The American Association for Homecare has worked for many months on the proposal to reform the Medicare home oxygen benefit. ...
Hello, HME News? This is the GAO, and we have some questions about oxygen
September 8, 2009Mike Moran
This morning, little old me, the humble executive editor of HME News, spent 40 minutes on the phone with four Government Accountability Office officials, answering questions about Medicare oxygen. порно аниме онлайн зрелые письки
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In case you don't know, the GAO is "the investigative...
Oxygen: '$3 billion for air, because that's all it really is'
August 28, 2009Mike Moran
[caption id="attachment_1482" align="alignleft" width="180" caption="Bruce Vladeck"][/caption]
That's what this guy had to say about the money Medicare spends on home oxygen therapy. Vladeck, the former administrator of the Medicare and Medicaid programs during the Clinton administration, made the comment during a segment on C-SPAN's "Washington Journal."
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Healthcare reform: House reaches compromise
July 29, 2009Mike Moran
The Blue Dog Coalition, a group of fiscally conservative Democrats in the House, has reached a compromise with leaders in the House, according to a story
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just posted by CNN. Earlier this month the Ways and Means and Education and Labor committees approved draft healthcare legislation, but efforts were stalled in the Energy and Commerce Committee due to push back from the Blue Dogs. According to CNN:
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July 9, 2009Mike Moran
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UPDATE: Here's AAHomecare's response to the Cleveland Plain Dealer article.
Why does it seem like members of Congress and officials at CMS make things unnecessarily complicated? If they wanted to reduce reimbursement for oxygen in 2006, they should have reduced reimbursement. Why did they have to come up with a pricing scheme like a 36-month cap?
That's what I was thinking, anyway, when I read this story published in the Cleveland Plain Dealer on July 7. It details how patients...