Earlier this week Jonathan Linkous, the CEO of the American Telemedicine Association, proudly announced to the ATA membership that the Centers for Medicare and Medicaid Services (CMS) had approved various requests to expand the list of reimbursement-eligible...


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Stay informed with Medbill’s blog, where we share expert guidance, practical tips, and industry updates to help DME providers navigate the industry’s complexities.
Reimbursement
CMS seeks to update home health services payment rates and eligibility requirements
On July 7, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule updating Medicare’s Home Health Prospective Payment System payment rates for 2015. The rule implements the second phase of a four-year initiative to rebase Medicare home health...
HME News: CMS barrels forward with bidding, bundling
CMS’s plan to expand competitive bidding pricing and implement bundled monthly payments for certain HME is a mixed bag of positives and negatives, industry stakeholders say. Biggest loser: rural areas In a July 2 proposed rule, the agency outlines plans to apply...
Hospitals to Get 2.1% Pay Boost on Medicare Outpatients
Medicare payments to hospitals for care they provide on an outpatient basis would increase 2.1 percent under an White House Administration proposal highlighting a trend toward discouraging unnecessary admissions. Medicare, the health program for the elderly and...
CMS announces Medicare appeals without ALJ
Medicare Part B Providers will be able to appeal certain Medicare claims decisions without utilizing an administrative law judge, the Centers for Medicare & Medicaid Services announced Thursday. Settlement Conference Facilitation is an alternate dispute resolution...
AAHomecare: DMEPOS Competitive Bidding Improvement Act FAQs
H.R. 4920 - Frequently Asked Questions With the recent introduction of H.R. 4920, Medicare DMEPOS Competitive Bidding Improvement Act of 2014, questions about the specifics of the bill and why it is important for the HME industry have come from providers around the...
MedPAC: ACOs should be allowed to waive 3-midnight requirement for Medicare skilled nursing coverage
Accountable care organizations should be able to place patients in skilled nursing facilities more quickly and communicate which SNFs are preferred providers, the Medicare Payment Advisory Commission stated in a letter to a top government health official. The...
HME News: Providers debate prior auth proposal
A majority of HME providers welcome the idea of prior authorizations for certain DME, but they say Medicare’s proposed timeline for returning decisions is unreasonable. Sixty-nine percent of the 160 respondents to a recent HME Newspoll think CMS’s proposal to...
Medicaid providers say NCTracks problems continue
A year after North Carolina launched a massive overhaul of the state's Medicaid billing system, some providers are still reporting major problems that have lead to increased paperwork and patients waiting longer for care. NCTracks launched in July 2013, promising to...
Medicare audits hurt providers, lawmakers complain
Efforts to fight fraud in the nation’s massive health care program for seniors have burdened many honest providers, pushing some out of business, lawmakers complained Tuesday. At a House subcommittee hearing held by Rep. James Lankford, Democrats and Republicans...
Groups urge feds to reimburse ACOs for telehealth
Saying they want to improve care coordination, several organizations are calling on the federal government to reimburse accountable care organizations for the use of telehealth and remote patient monitoring technologies. In three letters sent today to incoming U.S....
Patients Caught in the Middle of Medicare
Every day is a battle for Dorothy Coggins, even with her daughter Patty by her side. But her bout isn't only physical. It started in late April when Dorothy had back surgery at Backus Hospital in Norwich. Patty brought her there on a Tuesday morning and says the...











