HME News: CMS eases requirements for changing providers

WASHINGTON – CMS has instructed the DME MACs to accept timely orders and medical documentation whether they come from a beneficiary’s treating physician or a transferring HME provider. The change is a big deal for providers in competitive bidding areas, where transfers of beneficiaries from non-contract to contract providers are common. “Industry (has) suggested that[…]

PAMS: Office of Long-Term Living (OLTL) Service Coordinators and Providers Mandatory Protective Services Training

OLTL Service Coordinators and Direct Service Providers are required to participate in trainings mandated by OLTL.  As entities providing services and supports to Home and Community-Based Services waiver participants, protecting the health and welfare of participants is your responsibility. In addition, you are required by two state laws to report suspected abuse, neglect, exploitation or[…]


Fingerprints slow Medicare application process

There have been delays in processing new Medicare applications for DME providers due to CMS’s new fingerprinting initiative, the Midwest Association for Medical Equipment Services (MAMES) reports. “MAMES has been hearing from suppliers and consultants on what appears to be added delays,” reads the association’s Feb. 2 bulletin. CMS began phasing in fingerprint-based background checks[…]


No Judicial Relief in sight for the ALJ delays

In May 2014, the American Hospital Association filed suit against the United States Department of Health and Human Services seeking to compel Administrative Law Judges (ALJs) to comply with applicable statutory deadlines for deciding Medicare claim appeals. By law, ALJs are required to render a decision within ninety days of a request for hearing to[…]


Stop Fraudulent Bidders from abusing Medicare…

On January 12, bipartisan legislation was introduced in both the House and Senate that would require bidders to stand by their bids and stop speculators from gaming Medicare contract auctions for home medical equipment. H.R. 284 and S.148 would ban non-binding bids, the biggest problem with the Medicare competitive bidding program. With the next cycle[…]


Feds: Louisiana must refund $7 million

Louisiana erroneously claimed more than $7 million in bonus payments related to its children’s health insurance program that need to be repaid, a federal inspector general’s report concludes. The state Medicaid program “overstated” program enrolment, including ineligible individuals, in requests to the federal Centers for Medicare and Medicaid Services, called CMS, according to the report.[…]


Congresswoman Renee Ellmers Introduces Audit Reform Bill, HR 5083

(Cary, NC) – Congresswoman Renee Ellmers (R-NC) continues her diligent efforts to ensure home medical equipment providers can care for the patients that need them rather than waste time and money on burdensome audits that are unnecessary. Her most recent action is to introduce a bill in Washington today, called “Medicare DMEPOS Audit Improvement and[…]