RAC Integration for Medicare Advantage Audits
Section 6411(b) of the Patient Protection and Affordable Care Act of 2010 (PPACA) requires the expansion of the Recovery Audit Contractor (RAC) program to Medicare Part C. While we may …
HME News: Stakeholders question authority to bundle
WASHINGTON – CMS does not have the authority to implement bundled bidding programs for CPAP or other HME, because it would jeopardize patient access to specific equipment, say industry stakeholders. …
TAMC Sleep Medicine expands services through telemedicine
Aroostook County, Maine – Telemedicine is a great tool that allows for specialty services to expand into rural areas, but sometimes the reverse is true and a quality service in …
Highmark layoffs hit Harrisburg area and Pittsburgh
Highmark Health Solutions laid off 52 people this week, with 21 occurring at the Higmark operation in East Pennsboro Township in Cumberland County, and a similar amount occurring in Pittsburgh. …
Using the New Request for Hearing Form for Medicare Appeals
The advent of revised regulations for administrative law judge (ALJ) hearings of Medicare appeals includes a new request for ALJ hearing or review of dismissal form. Because the new form …
Register Now: CMS Stakeholder Input Call for DMEPOS Non-CBA
CMS announced a call to discuss the non-CB impact of CURES with stakeholders on Thursday, 3/23 at 2p Eastern. According to the CMN announcement, CURES mandates Stakeholder input on the methodology …
DME Billing Alert: BCBS of NC Implementing Major Changes to Sleep Therapy Policies
Blue Cross and Blue Shield of North Carolina (BCBSNC) will implement a new Sleep Management Program effective June 1, 2017. The new program will consider the medical necessity of studies …
HHS says Medicare Appeals Backlog Will Be Worse by 2021
After being directed by a court order to clear out the Medicare backlog of home health care claims appeals, the Department of Health and Human Services (HHS) is predicting the backlog …