Medicare officials want to make it harder for their recovery-audit companies to collect fees for auditing hospital and doctor bills. Earlier this week, the Government Accountability Office gave the CMS the go-ahead to make the change despite protests from the...


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Government
CMS Website Finally Recognizes ICD-10 Delay
Weeks after the President signed the temporary Sustainable Growth Rate (SGR) "doc fix" bill that included a one-year extension to ICD-10 implementation, the Centers for Medicare and Medicaid Services (CMS) has just now updated its website to acknowledge the delay. In...
State of Georgia seeking more choices in 2015 health plans
Georgia State officials said Tuesday that they plan to increase the number of insurers and health plan options for state employees and teachers next year. The State Health Benefit Plan (SHBP) has been a target of fierce criticism since Jan. 1. That’s when changes to...
HME News: Sebelius resigns from HHS
Kathleen Sebelius has resigned after serving five years as secretary of the Department of Health and Human Services. President Barack Obama is expected to nominate Sylvia Mathews Burwell, director of the Office of Management and Budget (OMB), to replace Sebelius, news...
GAO Releases Round 1 Rebid Report
The second major government report on the Round 1 Rebid to be issued was released by the Government Accountability Office. The report acknowledges that both beneficiary utilization and numbers of providers are down in bid areas. According to the report, in general,...
OIG Releases Round 1 Rebid Report
The Department of Health and Human Services Office of Inspector General released its report on the bidding program’s Round 1 Rebid. The report is based on a random sampling of winning suppliers and single payment amounts (SPAs). Although OIG determined that CMS...
AAHomecare PR Spurs CMS to Action
Back in January, AAHomecare issued a press release about Leonce Pierre-Lewis, a patient in New Jersey who was having trouble getting a replacement wheelchair from Medicare. This week, the Association learned that CMS has taken notice and is working with the patient to...
CMS May be Sued over Face-to-Face Requirements
The National Association for Homecare (NAHC) is laying the groundwork for a possible lawsuit against CMS’ implementation of the Affordable Care Act’s (ACA) home health face-to-face requirements. NAHC says that providers are frustrated with face-to-face denials and...
Massachusetts to dump health website contractor
Massachusetts planned to cut ties with the contractor for its hobbled health care insurance website, state officials said Monday. CGI Group, a Montreal-based information technology firm, was also the lead contractor on the troubled federal health care website. The...
Congressmen Thompson And Braley Join Push To Prevent Expansion Of Medicare Bidding Program
The American Association for Homecare and the VGM Group applauded Representatives Glenn Thompson (R-Pa.) and Bruce Braley (D-Iowa) for urging the Centers for Medicare and (CMS) Medicaid Services Administrator Marilyn Tavenner to refrain from further action to expand...
Nearing enrollment’s end, lots of North Carolinians still uninsured
With two weeks left to enroll in health insurance for 2014 through the Affordable Care Act, tens of thousands of uninsured residents in North Carolina could face penalties if they don’t meet the March 31 deadline. Despite a horrendous roll out – with the federal...
DME Provisions Included in President’s 2015 Budget
President Obama released his 2015 budget this week, and, as expected, provisions targeting DME were included. Two of the prominent provisions suggest using Medicare bid rates for Medicaid reimbursement to save money, and implementing prior authorization as a means of...






